| NPI | 1487690038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R VICTORIA Physical Ed. Assistant Coach 210-653-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IL 1714) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |