| NPI | 1982221701 |
|---|---|
| Other Name | AA1- HOME & COMMUNITY BASE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | GLORIA ENORUWA OMIGIE CEO 832-659-6895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2023-08-25 |