Organization
ALPHA HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE WISDOM-WILD (CHIEF EXECUTIVE OFFICER)
(210) 735-3822
Entity
Organization
Contact information
Practice address
300 E MULBERRY AVE, SAN ANTONIO, TX 78212-3023
(210) 735-3822
(210) 735-1908
Mailing address
300 E MULBERRY, SAN ANTONIO, TX 78212-3023
(210) 735-3822
(210) 735-1908
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
438 A, B & C
TX
Other
Enumeration date
02/26/2010
Last updated
10/20/2010
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