| NPI | 1144546599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKEIRU P UCHEM Program Manager 832-607-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2024-09-11 |