| NPI | 1962624460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLOU ERBLAND Clinical Director 713-426-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: TX 1930-1930A) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: TX 844802) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-04-03 |