| NPI | 1952643918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY CALDERON Owner 915-345-8379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: TX 22970091) |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2013-03-17 |