| NPI | 1992158117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASCHAL EJERENWA Director 832-744-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2022-08-18 |