| NPI | 1891049656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MARIE DUROSEAU CEO 512-284-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |