| NPI | 1962388058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEMOLA OLUSEYI ADEJOBI Chief Executive Officer 979-900-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-14 |