NPI | 1407812753 |
---|---|
Other Name | AUTUMN VISTA |
Entity Type | Organization |
Authorized Contact | MIKE HAWKER CFO 210-340-7155 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 007385) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2020-08-22 |