| NPI | 1003643057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLASADE RACHEAL AKINKUOWO Owner 832-303-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |