| NPI | 1780937714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CICELY GIBSON Owner 281-743-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |