| NPI | 1740960384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAYANDE IDUGBOE Program Manager 713-498-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-10-10 |