| NPI | 1013139377 |
|---|---|
| Doing Business As | RCSA DAVIDSON HOUSE |
| Entity Type | Organization |
| Authorized Contact | CHUCK WALZEL CFO 210-922-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: TX HBOCS00758-04-00) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: TX HBOCS007758-04-00) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-03-23 |