| NPI | 1366783664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO FERNANDEZ Facility Director 210-568-8512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TX 67239) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |