| Trinity Behavioral Health | |
|
5600 Vance Jackson Rd San Antonio TX 78230-3435 | |
| (210) 815-4468 | |
| Not Available |
| Full Name | Trinity Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 5600 Vance Jackson Rd, San Antonio, Texas |
| Authorized Official Name and Position | Vasi Jankovich (LCSW/MANAGER) |
| Authorized Official Contact | 2108154468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Behavioral Health 5600 Vance Jackson Rd San Antonio TX 78230-3435 Ph: (210) 815-4468 | Trinity Behavioral Health 5600 Vance Jackson Rd San Antonio TX 78230-3435 Ph: (210) 815-4468 |
| NPI Number | 1003372749 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 02/19/2019 |
| Medicare PECOS PAC ID | 0547500308 |
|---|---|
| Medicare Enrollment ID | O20190314001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003372749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Vasi L Jankovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629415872 PECOS PAC ID: 8527308386 Enrollment ID: I20190314002044 |
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