| NPI | 1669043899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOODNEWS BONAGE CEO 281-686-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |