| NPI | 1174815112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY T NGUYEN Manager 832-247-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-12 |