| NPI | 1578849147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA R STANSELL Owner 361-510-8219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 320900000X) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |