| NPI | 1952336398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L POLZIN Executive Director 361-575-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |