Organization
LA CLINICA AMISTAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HENDERSON LMSW-AP (PRESIDENT/CEO)
(210) 872-4302
Entity
Organization
Contact information
Practice address
17319 GARWOOD CHASE, SAN ANTONIO, TX 78247-5839
(210) 872-4302
Mailing address
17319 GARWOOD CHASE, SAN ANTONIO, TX 78247-5839
(210) 872-4302
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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