Healthcare Provider Details

I. General information

NPI: 1548153083
Provider Name (Legal Business Name): STONEBRIDGE CONTINUUM OF CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 CENTRAL PKWY S
SAN ANTONIO TX
78232-5021
US

IV. Provider business mailing address

1010 CENTRAL PKWY S
SAN ANTONIO TX
78232-5021
US

V. Phone/Fax

Practice location:
  • Phone: 210-314-3476
  • Fax:
Mailing address:
  • Phone: 210-314-3476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL R GHORMLEY
Title or Position: PRESIDENT/OWNER
Credential: PH.D
Phone: 210-314-3476