| NPI | 1427577444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIAMOND W MILLER Owner 210-995-5471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-07-21 |