| NPI | 1063259687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JEAN V SILVA Adminstrator 915-841-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |