| NPI | 1336490325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSITA EMUKA Program Administrator 832-298-5687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |