| NPI | 1689191686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MOORE President 972-891-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2024-05-02 |