NPI | 1023793247 |
---|---|
Doing Business As | SAM |
Entity Type | Organization |
Authorized Contact | LATANYA SAM CEO / Director 832-545-4514 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2023-06-15 |
Last Update Date | 2025-04-08 |