| NPI | 1649598947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E LEE Owner/Administrator 210-646-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 000735602) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |