| NPI | 1932558517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MAYON Operations Manager 281-450-3925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-08-19 |