Texas Adolescent Treatment Center in San Antonio - Community/behavioral Health
Texas Adolescent Treatment Center - NPI 1356565360
Texas Adolescent Treatment Center is a Community/behavioral Health in San Antonio, Texas. Texas Adolescent Treatment Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Texas Adolescent Treatment Center is 1356565360. The last update date is 2008-06-25.
Texas Adolescent Treatment Center's current location address is 11845 West Ave, San Antonio, Texas. You can contact this provider via phone number 2107729540. The mailing address for Texas Adolescent Treatment Center is 11845 West Ave, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Texas Adolescent Treatment Center |
|---|---|
| Address | 11845 West Ave, San Antonio, Texas |
| Phone Number | 2107729540 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Fernandez Sergio |
| Telephone Number | 2105688500 |
NPI Number Detail
| NPI Number | 1356565360 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 11845 West Ave |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782162554 |
| Phone Number | 2107729540 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 17401 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 147573301 | TX | CHIP | |
| 1475733 | TX | -- |
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What is the unique 10-digit identification code issued to Texas Adolescent Treatment Center by the Centers for Medicare & Medicaid Services?
The Texas Adolescent Treatment Center has been assigned the NPI (National Provider Identifier) 1356565360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Texas Adolescent Treatment Center located?
The Texas Adolescent Treatment Center is located at 11845 West Ave, San Antonio, TX 782162554.
What is Texas Adolescent Treatment Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Texas Adolescent Treatment Center's specialized field of practice is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of specialization is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356565360 to Texas Adolescent Treatment Center?
The Centers for Medicare & Medicaid Services assigned the 1356565360 to Texas Adolescent Treatment Center on 2007-04-12.
When was the information regarding Texas Adolescent Treatment Center most recently updated?
The details pertaining to the Texas Adolescent Treatment Center, including its address, specialty, and other relevant information, were last refreshed on 2008-06-25.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC