Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL YBARRA CHIEF (CHIEF OF THE PROGRAMS)
(210) 321-2700
Entity
Organization
Contact information
Practice address
13418 CORAM PEAK ST, SAN ANTONIO, TX 78248-1202
(210) 321-3700
Mailing address
13418 CORAM PEAK ST, SAN ANTONIO, TX 78248-1202
(210) 321-3700
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10140
TX
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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