| NPI | 1528711017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIMBOLA O SOMOYE Program Director 210-378-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |