| NPI | 1376438721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE KOFFI Director 832-382-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |