| NPI | 1972112266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIMA MUDOH Manager 832-385-1341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QR0800X Clinic/Center, Recovery Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2025-06-13 |