| NPI | 1164853164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA N PRIOR Psychiatric Nurse Practitioenr 325-716-1059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX APRN 549212) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |