| NPI | 1902585631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIQUE GUERRA Program Director 210-523-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-12-12 |