| NPI | 1790240901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDO IHIM Executive Director 832-423-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-09-10 |