| NPI | 1831748631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS OZGO Manager 210-441-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-01-31 |