NPI | 1881363539 |
---|---|
Entity Type | Organization |
Authorized Contact | CHINWE ELIZABETH ONONIBAKU Program Manager 832-879-9616 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-09-07 |
Last Update Date | 2021-09-07 |