| NPI | 1326075763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA ADAMS Program Manager 361-242-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-24 |