| NPI | 1871037135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL FELDER Director 210-901-8864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-07 |