| NPI | 1356565360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO FERNANDEZ Director 210-568-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 17401) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 17401) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-25 |