| NPI | 1770980229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IKOYA CEO 713-686-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2014-11-28 |
| Last Update Date | 2014-11-28 |