NPI | 1528641222 |
---|---|
Entity Type | Organization |
Authorized Contact | TABI PASCAL DEGOH CEO 832-219-5808 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2021-04-30 |
Last Update Date | 2025-02-25 |