| NPI | 1972387249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MODUPEOLA GRACE IDOWU-HENRY CEO 832-884-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |