| NPI | 1164288502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIOMA SNOWBIRD IROEGBU Owner 832-441-4736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 273R00000X Psychiatric Unit | |
| 283Q00000X Psychiatric Hospital | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |