| NPI | 1457473845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DITTER Business Manager 361-865-3083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |