Organization
BLUE HERON RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M VARELA MAYER PHD (CEO)
(210) 291-6426
Entity
Organization
Contact information
Practice address
2015 NE LOOP 410, SAN ANTONIO, TX 78217-5411
(210) 291-6426
Mailing address
2015 NE LOOP 410, SAN ANTONIO, TX 78217-5411
(210) 291-6426
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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