| NPI | 1063046712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD OGELUE ANYICHIE CEO 832-960-2576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |