| NPI | 1386061034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA COCO EMBOLA President 361-549-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |