| NPI | 1750439113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M. CLANCEY Executive Director 210-532-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |