| NPI | 1982935375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA DALUM Owner 956-299-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |