| NPI | 1013236108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A INEAMA Manager 817-451-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |