| NPI | 1396490769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DECLAN OJONTA Program Manager 832-745-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |