| NPI | 1841597309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHOREE MOODY Program Director 832-388-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |