| NPI | 1518395631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESPERANZA RUIZ Facility Manager 830-694-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 139178) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2021-01-28 |