| NPI | 1164581294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIA HAYDEE VAZQUEZ Administrator 915-881-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: TX 001007477) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TX 001010517) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |