| NPI | 1962755264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN SIMON ENOWACHOU CEO 281-570-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |