| NPI | 1538310321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA CAROLINA MONTEZ Administrator 210-797-9544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: TX 122220) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 122220) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |