| NPI | 1871627349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYNA NELSON Administrator 210-494-1956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 115329) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |