| NPI | 1447188768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY CAPOCY Program Director 210-621-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-05-08 |
| Last Update Date | 2026-05-08 |