| NPI | 1396204160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND DEDDEH President/Owner 281-746-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |