Organization
ATHENA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA ATHENA LARIOS (CEO)
(830) 469-5190
Entity
Organization
Contact information
Practice address
137 CASTLEWOOD DR, SEGUIN, TX 78155-8102
(830) 469-5190
Mailing address
137 CASTLEWOOD DR, SEGUIN, TX 78155-8102
(830) 469-5190
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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