NPI | 1942583125 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY JOHNSON Owner 214-440-2411 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2011-09-23 |
Last Update Date | 2011-09-23 |