| NPI | 1992272082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTION L JARRA Owner 832-872-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2018-10-27 |
| Last Update Date | 2020-11-16 |