| NPI | 1891211181 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANACHRISTINA TRAPP Program Director 832-703-3639 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 
| Enumeration Date | 2017-08-17 | 
| Last Update Date | 2022-07-21 |