| NPI | 1922496447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN BALY Program Adminstrator 832-499-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 251B00000X Case Management |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |