Organization
CAMINO REAL COMMUNITY MHMR CENTER
Active
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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