| NPI | 1407626765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL NAIMAN ULOMI Registered Nurse 832-677-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |