| NPI | 1861079931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCIE EPLING Licensee 832-423-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |