| NPI | 1932348455 |
|---|---|
| Other Name | NONE @ THIS TIME |
| Entity Type | Organization |
| Authorized Contact | JANAKI M MURUGESAN Physical Therapist 409-772-1913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TX 1081636) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: ZZ 2439) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |