| NPI | 1093142325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA R. DAWSON Executive Director 915-239-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2022-11-30 |