| NPI | 1740587740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DAWN SMITH-WALKER Program Manager 281-727-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |