| NPI | 1407133184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA FAYE BUTLER CEO 832-512-3863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 132672) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: TX 132672) |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: TX 132672) | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: TX 132672) | |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 132672) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 132672) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 132672) | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |