| NPI | 1114121415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN OKUNDAYE Administrator 281-537-6498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |