| NPI | 1578976163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME BARCELEAU Executive Director 915-544-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist (Licence: TX 610670000) | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist (Licence: TX 511030000) | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |