| NPI | 1710102330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LOREN WILSON Reimbursement Officer 210-357-0369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: TX 001010449) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-09-22 |