| NPI | 1114290046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARALYSIA BENAVIDES Director 956-753-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2019-03-18 |