| NPI | 1821339607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YTONJA LATRICE KEYS Owner 832-588-6294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2014-04-13 |