| NPI | 1942677661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELI ARROYO Caregiver 915-503-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |