| NPI | 1205037900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO CASTILLO Chief Executive Director 956-316-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX HCS Medicaid Waiver) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TX HCS Medicaid Waiver) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX HCS Medicaid Waiver) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX HCS Medicaid Waiver) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: TX TxHmL Medicaid Waive) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX TxHmL Medicaid Waive) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |