| NPI | 1699311944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHEN HOUSTON Administrator 832-288-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 253J00000X Foster Care Agency | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |