| NPI | 1114509528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNEEDA TALLEY CEO/Director 281-809-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2021-04-25 |