| NPI | 1215075353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE AGBOO OSEGHAE Administrator 210-541-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: TX 117124) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |