| NPI | 1962277186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA OKOYE Program Manager 832-715-9284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |