NPI | 1689995037 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIE RAUL PADILLA Administrator 915-592-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: VA 129696) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2010-06-21 |