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Organization

CLAYTON & BLUE RECOVERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACIA ALLEN (OWNER)
(937) 765-2343
Entity
Organization

Contact information

Practice address
7603 CABALLO CYN, SAN ANTONIO, TX 78244-3513
(937) 765-2343
Mailing address
7603 CABALLO CYN, SAN ANTONIO, TX 78244-3513
(937) 765-2343

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
07/31/2017
Last updated
07/21/2022
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