| NPI | 1063944809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIN MISIKO WAWIRE CEO / Chief Executive Manager 832-289-9878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |