| NPI | 1932219821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN ROBERSON Executive Director 936-521-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-03-30 |