NPI | 1437552700 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE CHAVEZ Owner 469-316-0858 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
343900000X Non-emergency Medical Transport (VAN) | |
347C00000X Private Vehicle | |
347E00000X Transportation Broker | |
Enumeration Date | 2014-10-01 |
Last Update Date | 2022-09-22 |