Texas Laurel Ridge

NPI 1043280951 - Psychiatric Residential Treatment Facility - 323P00000X

NPI Details
NPI 1043280951
Enumeration Date 01/24/2006
Last Updated 10/28/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEVE STEVE
Position SRVP CFO
Phone (210) 491-9400
Fax (210) 491-3517
Practice Location
17720 CORPORATE WOODS DR
SAN ANTONIO TX, 78259-3500, US
Phone (210) 491-9400
Fax (210) 491-3517
Business Location
17720 CORPORATE WOODS DR
SAN ANTONIO TX, 78259-3500, US
Phone (210) 491-9400
Fax (210) 491-3517
Toxanomy
Taxonomy Code 323P00000X
License State Texas
License Number 827024
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According to our database, Texas Laurel Ridge NPI is 1043280951, taxonomy code is 323P00000X and license number is 827024, license state is located at Texas. Texas Laurel Ridge physically located at 17720 Corporate Woods Dr, San Antonio TX, 78259-3500. NPI Number 1033115704 has the healthcare provider type.

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1043280951 NPI number is provided on an as is basis without warranty of any kind. 1043280951 is maintained by the National Plan & Provider Enumeration System. The contents of Texas Laurel Ridge are for informational purposes only.