| NPI | 1851989537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKIRUKA VIRGINIA MBONU CEO 281-854-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |