| NPI | 1154041267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY AYUK TAKANG Manager 832-659-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |