| NPI | 1508362294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAOBONG IMEH CEO 713-412-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2022-09-02 |