| NPI | 1700664356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA RIDDLE Owner/Operator 832-361-0054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-09-23 |