| NPI | 1891095386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASLYN JUAN ALEXANDER Administrator 713-636-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 320900000x) |
| Enumeration Date | 2010-10-30 |
| Last Update Date | 2010-10-30 |