| NPI | 1841477312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ELENDU Owner 713-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2009-07-20 |