| NPI | 1235616988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALINE OSAHON ERHWUNMWUNSEE Program Director 832-875-6037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2021-11-24 |