NPI | 1588024871 |
---|---|
Doing Business As | CALHOUN HOUSE |
Doing Business As | AUTUMN VISTA II |
Entity Type | Organization |
Authorized Contact | BRANDI TURNER Licensing Coordinator 682-707-2756 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2016-02-29 |
Last Update Date | 2025-09-09 |