| NPI | 1588423263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIAN T OBAYEMI Director 832-418-8269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 376G00000X Nursing Home Administrator | |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-04-09 |