| NPI | 1992836936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY BOREL Chief Executive Officer 409-839-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001007211) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-12-05 |