| NPI | 1770885162 |
|---|---|
| Former Legal Business Name | SAME |
| Entity Type | Organization |
| Authorized Contact | WILLIAM D CANELA General Manager 210-389-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |