| NPI | 1245583376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GILILLAND General Partner 817-798-8374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |