| NPI | 1144545542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIRAE GORE Owner 210-662-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251G00000X Hospice Care, Community Based | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |