| NPI | 1780429837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACHRISTY REED Managing Member 210-920-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-06-29 |
| Last Update Date | 2025-10-14 |