MEDICARE: BEXAR BEHAVIORAL HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1558912667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEXAR BEHAVIORAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	1107 BABCOCK RD
Second Line	:
City	:	BALCONES HEIGHTS
State	:	TX
Zip	:	78201-6905
Country	:	US
Telephone Number	:	210-346-0884
Fax Number	:

Provider Business Practice Location Address
First Line	:	1107 BABCOCK RD
Second Line	:
City	:	BALCONES HEIGHTS
State	:	TX
Zip	:	78201-6905
Country	:	US
Telephone Number	:	210-346-0884
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	KEVIN JAMES WOOD
Credential	:
Telephone Number	:	210-346-0884

Provider Enumeration Date	:	09/20/2019
Last Update Date	:	09/20/2019

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