| NPI | 1760521371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO MORENO Administrator 361-851-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX 001007966) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-09-23 |