| NPI | 1487837316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA EVETTE THOMAS Executive Director 210-815-1385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 143171) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2015-11-19 |