| NPI | 1770358079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ALEXIA JEFFREY Owner 832-338-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 310400000X Assisted Living Facility | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2024-05-17 |