| NPI | 1124993928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAKA AKALONU Program Manager 832-605-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-10-09 |