| NPI | 1316188626 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | LEWIS CHARLES Owner / Adminstrator 281-438-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 122643) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: TX 122643) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: TX 122643) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TX 122463) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 122463) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |