| NPI | 1558612549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONDALYN ELIZABETH MILES Administrator 210-757-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |