| NPI | 1194291674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINTESSA DENISE JACKSON Administrator 713-201-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |