Organization
ACTIVE BEHAVIORAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID ROYZMAN LCSW (CLINICIAN)
(347) 927-4409
Entity
Organization
Contact information
Practice address
13242 HUNTERS BREEZE ST, SAN ANTONIO, TX 78230-2867
(347) 927-4409
Mailing address
13242 HUNTERS BREEZE ST, SAN ANTONIO, TX 78230-2867
(347) 927-4409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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