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Organization
INBETWEEN LIVING REHABILITATION CENTER
Active
Organization
INBETWEEN LIVING REHABILITATION CENTER
Active
Other names
InBetween Living
Organization subpart
No
Provider details
NPI number
Authorized official
DYNASTY ROCHELLE HOLLAND (OWNER)
(210) 269-9715
Entity
Organization
Contact information
Practice address
9511 PERRIN BEITEL RD APT 205, SAN ANTONIO, TX 78217-3538
(210) 238-4427
Mailing address
9511 PERRIN BEITEL RD APT 205, SAN ANTONIO, TX 78217-3538
(210) 238-4427
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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