| NPI | 1598820425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BREEN VP Of Finance 210-826-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2024-06-12 |