| NPI | 1013283571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILIKISU ADEBOLO ANDREWS Program Manager 832-757-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 0000000) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |