| NPI | 1326183328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENELLE EDWARDS CEO 512-338-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 001012424) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |