| NPI | 1366014755 |
|---|---|
| Doing Business As | KOLAIAH'S HOUSE |
| Entity Type | Organization |
| Authorized Contact | FREDRICK W SHAW Owner 832-335-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |