| NPI | 1558594382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER OBASOGIE Owner 281-690-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |