NPI | 1659129088 |
---|---|
Entity Type | Organization |
Authorized Contact | JULISSA ROWE Owner 210-717-4999 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251G00000X Hospice Care, Community Based |
251S00000X Community/Behavioral Health | |
261QM0850X Clinic/Center, Adult Mental Health | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
343900000X Non-emergency Medical Transport (VAN) | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2024-05-09 |
Last Update Date | 2025-07-01 |