| NPI | 1427662675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLULOPE M FALOHUN Manager 281-301-4619 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |