| NPI | 1093602336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH GARZA Program Director 210-992-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |