| NPI | 1770040883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA UZOMBA Administrator 512-541-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2025-09-19 |