| NPI | 1629487178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA L TONEY Administrator 210-650-9963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 138374) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |