Organization Name: | BEHAVIORAL HEALTH SOLUTIONS OF SOUTH TEXAS |
NPI Number: | 1154527315 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE G. GONZALEZ (CEO) |
Mailing Address: | 5510 N Cage Blvd Suite C Pharr |
State: | TX US |
Postal Code: | 785771812 |
Phone Number: | 9567877111 |
Fax Number: | 9567812233 |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 05/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 891-J |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |