Organization Name: | SALVADOR J. GARCIA |
NPI Number: | 1013023316 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUCY LINDA MUNOZ (PROGRAM DIRECTOR) |
Mailing Address: | 1514 S. 77 Sunshine Strip Ste 25 Harlingen |
State: | TX US |
Postal Code: | 78550 |
Phone Number: | 9564258440 |
Fax Number: | 9564258722 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |