| NPI | 1821161167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GARNETT Program Supervisor 512-913-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2024-01-31 |