| NPI | 1396045118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY EGOH Program Manager 832-488-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |