NPI | 1144566043 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUGBENGA OLATUNJI AJALA CEO/Program Director 832-455-9359 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2012-12-20 |
Last Update Date | 2012-12-21 |