| NPI | 1164925830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS Owner/Program Manager 832-865-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |