| NPI | 1467567362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISELA ORTIZ HOUSTON Administrator Assistant 325-695-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 117070) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-05-16 |