| NPI | 1740471333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS CHARLES Owner 281-437-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |