Organization
MELISSA ROXANNE ACOSTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ROXANNE ACOSTA M.ED. (ADMINISTRATOR)
(210) 922-7227
Entity
Organization
Contact information
Practice address
5537 S ZARZAMORA ST, SAN ANTONIO, TX 78211-2044
(210) 922-7227
(210) 922-7227
Mailing address
5537 S ZARZAMORA ST, SAN ANTONIO, TX 78211-2044
(210) 922-7227
(210) 922-7227
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
06/18/2007
Last updated
07/21/2022
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