| NPI | 1417283326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA JOYCE JONES Owner 512-916-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |