| NPI | 1356411946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA BUTLER Executive Director 210-334-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 200307-991) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |