| NPI | 1992907695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN CERVANTES Owner/Director 210-621-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: TX 120420) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2019-08-02 |