| NPI | 1104260850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YNEDRA L DIGGS Owner 832-890-9253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |