Camino Real Community Mhmr Center

NPI #1700976818 in Lytle, Texas

Provider Information

NPI Number: 1700976818
Entity Type: Organization
Organization Name: Camino Real Community Mhmr Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 13, 2006
Last Updated: Sep 22, 2020

Practice Location

Address: 19965 FM 3175 NORTH
City: Lytle
State: Texas
ZIP Code: 78052
Phone: (210) 357-0300

Authorized Official

Name: TRACY LOREN WILSON
Title: REIMBURSEMENT OFFICER
Phone: (210) 357-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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