NPI | 1942370333 |
---|---|
Other Name | RIVERFOREST GROUP HOME |
Entity Type | Organization |
Authorized Contact | SCOTT SCHALCHLIN Associate Commission 512-438-3076 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2006-11-09 |
Last Update Date | 2018-02-05 |