| NPI | 1194200600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMA THARWANI Owner 713-870-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-03 |