| NPI | 1346875705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY AYUK TAKANG Program Manager 832-659-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253J00000X Foster Care Agency | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-06 |