| NPI | 1902114937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA RATCLIFF Administrator 936-441-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: TX 011784) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2013-01-10 |