| NPI | 1992568257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOCHUKWU B DIUBA Manging Member 281-967-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |