| NPI | 1851357628 |
|---|---|
| Other Name | WESTERN PINE WOODS |
| Entity Type | Organization |
| Authorized Contact | MIKE HAWKER CFO 210-340-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 007550) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |