Organization
CAMINO REAL COMMUNITY MHMR CENTER
Active
Other names
Camino Real Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNETTE DANIELLE AGUILAR BCBA (IDD BEHAVIORAL SERVICES DIRECTOR)
(830) 266-5450
Entity
Organization
Contact information
Practice address
19965 FM 3175, LYTLE, TX 78052-3481
(210) 357-0300
(830) 772-4305
Mailing address
19965 FM 3175, LYTLE, TX 78052-3481
(210) 357-0300
(830) 772-4305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
03/17/2018
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