| NPI | 1144646324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE O IMHANSI-JACOB Program Manager 713-557-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2020-12-10 |