| NPI | 1972893576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KA-KQUANA TYVON FRAZIER Executive Director 832-752-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |