| NPI | 1215125018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JAMES ALLEN Executive Director 210-977-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 873470) |
| Enumeration Date | 2007-10-06 |
| Last Update Date | 2007-10-06 |