| NPI | 1083185607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE V TOTH Owner/Administrator 210-954-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |