| NPI | 1154879831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUANITA SHANEL SHOTOMIWA RN Nurse 713-542-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |