| NPI | 1841619947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD CHRISTOPHER EDWARDS Manager 713-729-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |