| NPI | 1760774236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B OZGO Manager 210-341-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 000740) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2020-01-31 |