| NPI | 1629406764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAQUIN CABALLERO Manager 210-896-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2015-07-27 |