OrganizationActive
Camino Real Community Mhmr Center
NPI 1700976818 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lytle, TX
Provider details
- NPI number
- 1700976818
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tracy Wilson, Reimbursement Officer(210) 357-0300
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
19965 Fm 3175 North
Lytle, TX 78052
Phone: (210) 357-0300
Fax: (210) 357-0458
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 725
Lytle, TX 78052-0725
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2020-09-22
- Certified
- 2020-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.