| NPI | 1689277303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALA EWEKA C.E.O 281-912-9957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-25 |