| NPI | 1023793247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA SAM CEO 832-572-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |