| NPI | 1821253030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CRUZ RODRIGUEZ Owner 830-665-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 000599) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |