| NPI | 1043472681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN MARTENSON Business Manager 210-568-8600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |