| NPI | 1407380298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL YBARRA Chief Of The Programs 210-321-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 10140) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |