| NPI | 1760836084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D0RA E VILLEGAS CEO 832-506-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-28 |