| NPI | 1538581863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CANELA Administrator 210-389-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: TX 015881) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |