| NPI | 1871892075 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | LINADEN HORNEJA SANCHEZ Wocn 210-415-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AZ 1100007434) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-08-22 |