| NPI | 1619668787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHUKWUKERE Program Manager 832-851-5049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |