| NPI | 1255682191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUONG DOMINIC HOANG President 469-583-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |