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Organization
J.G.J LLC
Active
Organization
J.G.J LLC
Active
Other names
Enlightened Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE GALVAN JR. (MANAGER/OWNER)
(713) 530-1007
Entity
Organization
Contact information
Practice address
4807 WEST AVE # 100, SAN ANTONIO, TX 78213-2709
(210) 692-3030
Mailing address
4807 WEST AVE # 100, SAN ANTONIO, TX 78213-2709
(210) 692-3030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
01/10/2022
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