| NPI | 1942405154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ROXANNE ACOSTA Administrator 210-922-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-07-21 |