| NPI | 1104218981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED CARDENAS Manager 210-249-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: TX 70409) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |