| NPI | 1700956497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA HEIM Administrator 210-733-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: TX 116198) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |