| NPI | 1710656459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOSIMOT ADUNOLA LAWAL Program Manager 832-359-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |