| NPI | 1720673486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN OBILO Director 832-881-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |