| NPI | 1174978548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELE L SANTANA CEO 210-656-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2023-01-05 |