| NPI | 1740065523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GOINS Owner 832-659-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |