| NPI | 1366263303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEKEMI ADETOSO Program Manager 281-506-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |