| NPI | 1912299710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVA L MITCHELL RN/Owner 832-526-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 746310) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |