| NPI | 1952504862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELFINA O AMAYA Director Of Operations 210-499-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001008117) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |