| NPI | 1467648972 |
|---|---|
| Doing Business As | WYTHEVILLE GOUP HOME |
| Entity Type | Organization |
| Authorized Contact | GRAYSON HARCOURT Business Office Director 512-858-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |