| NPI | 1790922086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON WRIGHT BAILEY Partner/Program Manager 832-722-2592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |