| NPI | 1578576310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P STACK President & C.E.O. 915-771-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-07-21 |