Organization
SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Active
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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