| NPI | 1831917053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY N TATES-ROBINSON Owner 832-244-3727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251S00000X | |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |