| NPI | 1891325114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ATHENA LARIOS Program Manager 830-469-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2022-01-26 |