| NPI | 1689480329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UFUOMANEFE OBRIK ULOHO Manager 832-488-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-12-07 |
| Last Update Date | 2024-12-07 |