| 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 |