| NPI | 1699319012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE RICHARDSON Vice President Of Operations 512-336-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-08-10 |