Border Region Mhmr Youth Empowerment Services Waiver | |
1500 Pappas St Laredo TX 78041-1701 | |
(956) 794-3000 | |
(956) 794-3325 |
Full Name | Border Region Mhmr Youth Empowerment Services Waiver |
---|---|
Speciality | Community/behavioral Health |
Location | 1500 Pappas St, Laredo, Texas |
Authorized Official Name and Position | Daniel G Castillon (EXECTIVE DIRECTOR) |
Authorized Official Contact | 9567943000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Border Region Mhmr Youth Empowerment Services Waiver 1500 Pappas St Laredo TX 78041-1701 Ph: (956) 794-3000 | Border Region Mhmr Youth Empowerment Services Waiver 1500 Pappas St Laredo TX 78041-1701 Ph: (956) 794-3000 |
NPI Number | 1215308242 |
---|---|
Provider Enumeration Date | 10/16/2015 |
Last Update Date | 10/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215308242 | NPI | - | NPPES |
121989103 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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