| NPI | 1316973696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP CHUNG Onwer 713-981-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 114923) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |