| NPI | 1093567547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OYERINDE S AKANDE Program Manager 832-451-0926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |