| NPI | 1497229306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND OSIGWE ORJI Administrator 832-419-2398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |