| NPI | 1407603335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURO GOMEZ Administrator 956-442-5966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2025-06-24 |