| NPI | 1699398487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYPRIAN DIKE Manager 713-907-5717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2023-06-23 |