| NPI | 1447071394 |
|---|---|
| Doing Business As | SM RESIDENTIAL HOME |
| Entity Type | Organization |
| Authorized Contact | SHARRELL RICHARD Owner 832-216-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |