| NPI | 1073760963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ESPARZA Administrator 361-460-1532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: TX 000729501) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |