| NPI | 1265974232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODWIN UGWUOKE Owner 832-208-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |