| NPI | 1376947861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS NWOKENAKA Manager 832-794-0462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |