| NPI | 1215213236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSITA C. EMUKA Administrator 832-298-5687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |