| NPI | 1992241517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUSOLA AJELETI-OLUFADEJU CEO 832-884-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2017-01-07 |