| NPI | 1295812600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA BUTLER Executive Director 210-334-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: TX 108871) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |