| NPI | 1336943497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK O UKATA Program Manager 713-909-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |