| NPI | 1386867653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME BARCELEAU Executive Director 915-544-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: TX 610670000) |
| 252Y00000X Early Intervention Provider Agency (Licence: TX 511030000) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2014-01-16 |