| NPI | 1952434896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN MARTENSON Business Manager 210-568-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-10-22 |