Organization
UCG CENTRAL TEXAS HOLDINGS LLC
Active
Other names
Autumn Vista II, Calhoun House
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI TURNER (LICENSING COORDINATOR)
(682) 707-2756
Entity
Organization
Contact information
Practice address
12351 AUTUMN VISTA ST, SAN ANTONIO, TX 78249-2405
(682) 707-2756
Mailing address
102 BURNET ST, PORT LAVACA, TX 77979-2611
(512) 552-4319
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
ICF
TX
Enumeration date
02/29/2016
Last updated
09/09/2025
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