| NPI | 1366945057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MEJIA Executive Director 210-824-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |