Organization
REACHING MAXIMUM INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA KELLY (EXECUTIVE DIRECTOR)
(210) 656-6674
Entity
Organization
Contact information
Practice address
6336 MONTGOMERY, SAN ANTONIO, TX 78239-3239
(210) 656-6674
(210) 656-0199
Mailing address
6336 MONTGOMERY, SAN ANTONIO, TX 78239-3239
(210) 656-6674
(210) 656-0199
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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