Organization
DESTA THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GROSS (CO-FOUNDER/MANAGING PARTNER)
(210) 417-9272
Entity
Organization
Contact information
Practice address
16607 BLANCO RD STE 12103, SAN ANTONIO, TX 78232-1961
(210) 417-9272
Mailing address
405 EL PORTAL DR, SAN ANTONIO, TX 78232-2003
(210) 417-9272
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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