| NPI | 1548511678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE EGBON Administrator 713-252-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |