Organization
CAMINO REAL COMMUNITY MHMR CENTER
Active
Other names
CAMINO REAL COMMUNITY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CORONA (REIMBURSEMENT/CREDENTIALING SPEC)
(210) 357-0369
Entity
Organization
Contact information
Practice address
19965 FM 3175 NORTH, LYTLE, TX 78052
(210) 357-0369
(210) 357-0458
Mailing address
PO BOX 725, LYTLE, TX 78052-0725
(210) 357-0369
(855) 240-1374
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
001010449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001010449
TXHLV CONTRACT
TX
Enumeration date
04/17/2007
Last updated
03/19/2026
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