| NPI | 1891239299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SCALZO Owner 281-509-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385H00000X Respite Care | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |