| NPI | 1770148041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PIPKIN-WILDER President 832-724-1374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2020-01-06 |