| NPI | 1780515536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE ELSIE MAMMI Licensed Vocational Nurse 281-912-8647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-05-28 |
| Last Update Date | 2026-05-28 |