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Organization
METHODIST MISSION HOME
Active
Organization
METHODIST MISSION HOME
Active
Other names
Providence Place
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA NANEZ CERVANTES (CHIEF PROGRAM OFFICER)
(210) 696-2410
Entity
Organization
Contact information
Practice address
6487 WHITBY RD, SAN ANTONIO, TX 78240-2131
(210) 696-2410
(210) 888-9550
Mailing address
6487 WHITBY RD, SAN ANTONIO, TX 78240-2131
(210) 696-2410
(210) 888-9550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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