Organization
LIFE SKILLS THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DUAZO (PRESIDENT)
(956) 383-1854
Entity
Organization
Contact information
Practice address
2115 PLEASANTON RD, SUITE 203, SAN ANTONIO, TX 78221-1321
(210) 924-2115
Mailing address
1016 FORT HOOD AVE APT 2, EDINBURG, TX 78539-3332
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
04/20/2008
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