| NPI | 1871716670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODFREY O OBI Program Director 713-271-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: TX 84M) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-06-17 |