| NPI | 1891409256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEHAZARD ALLEN Manager 832-265-8476 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X Community/Behavioral Health | |
| 302F00000X Exclusive Provider Organization | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |