Organization
SUPPORTED SERVICES LLC
Active
Other names
Supported Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOUGLAS (DIRECTOR)
(800) 691-2438
Entity
Organization
Contact information
Practice address
18911 HARDY OAK BLVD STE 164, SAN ANTONIO, TX 78258-4967
(800) 691-2438
Mailing address
18911 HARDY OAK BLVD STE 164, SAN ANTONIO, TX 78258-4967
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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