| NPI | 1679340657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YETUNDE OGUNJUMELO Program Manager 832-807-7365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |