| NPI | 1295065266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY EDITH WEDDINGTON Owner 210-896-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |