| NPI | 1508588534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANDINE TCHANQUE Manager 832-322-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |