| NPI | 1386483469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ENEYOKHE IMAKU Program Manager 832-264-7127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-06-07 |