| NPI | 1801675251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDOKA DANIEL OKOLIE Program Manager 281-840-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2026-05-11 |