| Impact Behavior Health Services Llc. | |
|
9504 N Ih 35 Ste 311 San Antonio TX 78233-6617 | |
| (504) 407-0709 | |
| (504) 333-6252 |
| Full Name | Impact Behavior Health Services Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9504 N Ih 35 Ste 311, San Antonio, Texas |
| Authorized Official Name and Position | Tracy B Clark (CEO) |
| Authorized Official Contact | 5042224938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Behavior Health Services Llc. 9504 N Ih 35 Ste 311 San Antonio TX 78233-6617 Ph: (504) 407-0709 | Impact Behavior Health Services Llc. 9504 N Ih 35 Ste 311 San Antonio TX 78233-6617 Ph: (504) 407-0709 |
| NPI Number | 1124494802 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124494802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Texas) | Primary |
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