Organization
SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLAIR STAM (EXECUTIVE VICE PRESIDENT)
(951) 520-4185
Entity
Organization
Contact information
Practice address
8550 HUEBNER RD, SAN ANTONIO, TX 78240-1803
(248) 905-5091
Mailing address
8550 HUEBNER RD, SAN ANTONIO, TX 78240-1803
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
00000000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3490591-01
—
TX
Enumeration date
02/10/2014
Last updated
11/02/2015
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