| NPI | 1912229519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY UDOH Executive Director 713-776-3925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |