| NPI | 1326461906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEWANDE R ADESANMI President/Administrator 512-680-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2025-08-14 |