| NPI | 1265274419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN EBIGWU DIBIA Program Manager 832-679-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-08-13 |