| NPI | 1205628328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVA NALLS Program Administrator 210-784-9035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |