| NPI | 1952458192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R CLAPP Controller 512-236-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-10-04 |