| NPI | 1760213888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX OSEGBOUN Managing Director 361-389-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2024-11-02 |