| NPI | 1073692604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SCHALCHLIN Associate Com MIS Sioner 512-438-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-02-05 |