| NPI | 1659614774 |
|---|---|
| Doing Business As | ANGEL WINGS I |
| Entity Type | Organization |
| Authorized Contact | DELAUNE ELAINE RADIN CEO 281-389-4061 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-04-01 |