| NPI | 1851006241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONCIL PATRICE LEE Owner 281-747-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |