Organization
TEXAS LAUREL RIDGE HOSPITAL LP
Active
Other names
Laurel Ridge Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SRVP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
17720 CORPORATE WOODS DR, SAN ANTONIO, TX 78259-3500
(210) 491-9400
(210) 491-3517
Mailing address
17720 CORPORATE WOODS DR, SAN ANTONIO, TX 78259-3500
(210) 491-9400
(210) 491-3517
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
000723
TX
323P00000X
Psychiatric Residential Treatment Facility
827024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012278
—
IA
05
—
001951370001
—
PA
05
—
0413423
—
MO
05
—
06704836
—
MS
01
—
119465
CBH PIN
PA
05
—
149461125
—
AK
05
—
1707414
—
LA
05
—
2000114300A
—
OK
05
—
21240902
—
TX
05
—
51754339
—
NM
05
—
6388590
—
NV
05
—
783771
—
AZ
01
—
HH0825
BC ACUTE PIN
TX
01
—
HH3825
BC CD PIN
TX
01
—
HH6534
BC PARTIAL PIN
TX
01
—
HH6623
BC RTC PIN
TX
05
—
HS795PI
—
AK
Enumeration date
01/24/2006
Last updated
10/28/2015
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