| NPI | 1942533708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BOJE Administrator 281-660-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |