| NPI | 1790938025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINA JEFFERSON CEO 832-527-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 1016629) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 251E00000X Home Health | |
| 251S00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2023-12-11 |