| NPI | 1326252750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LINDSAY Administrator 210-599-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 000720801) |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 000360301) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |