| NPI | 1982446548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BLANKENBURG Owner/Executive Director 979-421-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |