| NPI | 1609190461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA KWILASONJA MERRITT Provider 832-352-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |