| NPI | 1356631113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALENE IFUEKO EDOKPAYI Administrator 832-606-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-14 |