| NPI | 1447654397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADIMORA EZE CEO 832-368-7194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |