| NPI | 1144368168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LEE Administrator Owner 210-646-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2010-05-26 |