| NPI | 1902376635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MITEMA Program Manager 832-375-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |