Organization
GEO GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIO FERNANDEZ PHD (FACILITY DIRECTOR)
(210) 568-8512
Entity
Organization
Contact information
Practice address
620 E AFTON OAKS BLVD, SAN ANTONIO, TX 78232-1236
(210) 568-8600
(561) 443-6059
Mailing address
620 E. AFTON OAKS BLVD., SAN ANTONIO, TX 78232
(210) 568-8600
(561) 443-6059
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
67239
TX
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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