| NPI | 1528579919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BAIN Owner/Program Director 210-975-5322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |