| NPI | 1083852529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHEANYI C NWOKENAKA Director 281-341-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2020-08-28 |