| NPI | 1639556400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADE TEOSHAN THOMAS Nurse 832-284-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: TX T172110) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |