NPI | 1467502187 |
---|---|
Other Name | WEST BAY GROUP HOME |
Entity Type | Organization |
Authorized Contact | DORTHEY SINGLETON Accounting Clerk 936-631-6149 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 000764301) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |