| NPI | 1417557869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR MUNGAI Director 832-588-7556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2055X Respite Care Respite Care, Mental Illness, Child |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |