| NPI | 1104196674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE FERNANDEZ Director 915-599-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: TX 133190) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |