| NPI | 1801648878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORLI SIMMONS CEO 409-225-3286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |