| NPI | 1629705595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIMAT ABDULWAHAB Program Manager 832-219-5032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |