| NPI | 1992374656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED HUSAIN Manager 469-739-6473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |