| NPI | 1659517423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN OKWUCHI JOSEPH Director 832-215-6834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: N/A) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |