NPI | 1851048169 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDICE KRASOVEC Founder 512-803-4160 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
323P00000X Psychiatric Residential Treatment Facility | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
Enumeration Date | 2022-03-07 |
Last Update Date | 2022-03-07 |