| NPI | 1679539761 |
|---|---|
| Other Name | PHEASANT RIDGE |
| Entity Type | Organization |
| Authorized Contact | MIKE HAWKER CFO 210-340-7155 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-06-17 |