| NPI | 1912020645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNE STACIE ORTIZ Owner 830-822-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 61423) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 39042) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2009-06-18 |