| NPI | 1639135684 |
|---|---|
| Other Name | BOULDER |
| Entity Type | Organization |
| Authorized Contact | MIKE HAWKER CFO 210-340-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 101793) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |