NPI | 1962468033 |
---|---|
Other Name | STORMY SUNSET |
Entity Type | Organization |
Authorized Contact | MIKE HAWKER CFO 210-340-7155 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: TX 101810) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2020-08-22 |