Organization
TAJ MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARNELL JOHNSON (PRESIDENT)
(210) 485-6126
Entity
Organization
Contact information
Practice address
10730 POTRANCO RD, STE 122-242, SAN ANTONIO, TX 78251-3327
(210) 485-6126
Mailing address
10730 POTRANCO RD, STE 122-242, SAN ANTONIO, TX 78251-3327
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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