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General NPI Number Information
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NPI Number | 1548153083
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Entity Type | Organization
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Legal Business Name | STONEBRIDGE CONTINUUM OF CARE LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1010 CENTRAL PKWY S
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City | SAN ANTONIO
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State | TX
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Zip | 78232-5021
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Country | US
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Telephone | 210-314-3476
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 CENTRAL PKWY S
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City | SAN ANTONIO
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State | TX
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Zip | 78232-5021
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Country | US
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Telephone | 210-314-3476
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MICHAEL R GHORMLEY
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Credential | PH.D
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Telephone | 210-314-3476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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