| NPI | 1700239118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LILLIAN JACQUEZ President 915-775-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TX 143878) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |