| NPI | 1477990950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MICHAEL RIVERA Caregiver 512-695-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |