NPI | 1730135161 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNIE H MCGRAW President 281-859-9474 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 000738701/ 000759701) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 0000H08KC) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2011-04-11 |