| NPI | 1275121451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WELLINGTON CARNGBE President 210-632-7758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2022-11-11 |