Organization
ADVANCED ENROLLMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GREEN (OWNER)
(210) 627-4017
Entity
Organization
Contact information
Practice address
7400 BLANCO RD STE 126D, SAN ANTONIO, TX 78216-4361
(210) 627-4017
Mailing address
7400 BLANCO RD STE 126D, SAN ANTONIO, TX 78216-4361
(210) 627-4017
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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