| NPI | 1174673891 |
|---|---|
| Other Name | DIBOLL HOUSE |
| Entity Type | Organization |
| Authorized Contact | DORTHEY SINGLETON Accounting Clerk 936-631-6149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 000760601) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |