Texas Adolescent Treatment Center
LBN: Texas Adolescent Treatment Center
Texas Adolescent Treatment Center is an health care organization with primary practice located at 11845 West Ave Apartment 1015, San Antonio TX 78216-2554. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty.
Texas Adolescent Treatment Center can be contacted via phone (210) 772-9540, or through Fernandez, Sergio via phone (210) 568-8500.
Contact Information
Primary practice address
11845 West Ave Apartment 1015
San Antonio TX 78216-2554
Phone: (210) 772-9540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 17401 | Texas |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 17401 | Texas |
Profile Details
| NPI number | 1356565360 |
|---|---|
| LBN Legal business name | Texas Adolescent Treatment Center |
| DBA Doing business as | |
| Authorized official | Fernandez, Sergio |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jun 25th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356565360 | NPPES |
| Texas | Other | 147573301 | CHIP |
| Texas | MEDICAID | 1475733 | CHIP |
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