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 |