| NPI | 1952442691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ETHEL JOHNSON Owner 210-559-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 115434) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |