| NPI | 1285083485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED H GHANNAM CEO 210-639-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 311500000X Alzheimer Center (Dementia Center) | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |