| NPI | 1992877948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A VALDES Administrator 281-489-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: TX TDFPS517689) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-11-01 |