| NPI | 1568983385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN RANDLE Administrator 210-273-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2017-07-01 |