| NPI | 1386378461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAFISAT ABDULWAHAB Program Manager 832-449-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-13 |