| NPI | 1912075318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KENNETH GRAY CEO 512-336-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: TX 115066) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-10 |