| NPI | 1609099142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MCMAHAN Regional Program Director 210-647-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2023-12-11 |