| NPI | 1932469418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA D BARNETT Owner 832-731-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-08-31 |