| NPI | 1770333882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA LEWIS Executive Director 832-630-9491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |