| NPI | 1831438571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED I EDOSAH Manager 281-990-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |