Organization
CAMINO REAL COMMUNITY MHMR CENTER
Active
Other names
CAMINO REAL COMMUNITY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CORONA (REIMBURSEMENT/CREDENTIALING SPEC)
(210) 357-0369
Entity
Organization
Contact information
Practice address
19965 FM 3175 NORTH, LYTLE, TX 78052
(210) 357-0300
(210) 357-0458
Mailing address
PO BOX 725, LYTLE, TX 78052-0725
(210) 357-0300
(855) 240-1374
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017453401
—
TX
Enumeration date
10/12/2006
Last updated
03/19/2026
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