| NPI | 1326498528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELTON LAKEITH YORK Managing Member 210-748-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2018-06-04 |