| NPI | 1336279488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED KELLEYADMINISTRATOR President Of Corporation 210-979-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 000752001) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |