Organization
TEXAS LAUREL RIDGE HOSPITAL LP
Active
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
Update your record
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