| NPI | 1083264881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEAL JOHNSON NGOBIDI Manager 281-446-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |