Organization
INBETWEEN LIVING REHABILITATION CENTER
Active
Other names
InBetween Living
Organization subpart
No
Provider details
NPI number
Authorized official
DYNASTY ROCHELLE HOLLAND (OWNER)
(210) 269-9715
Entity
Organization
Contact information
Practice address
9511 PERRIN BEITEL RD APT 205, SAN ANTONIO, TX 78217-3538
(210) 238-4427
Mailing address
9511 PERRIN BEITEL RD APT 205, SAN ANTONIO, TX 78217-3538
(210) 238-4427
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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