OUR LADY OF THE LAKE UNIVERSITY NPI 1982753448

NPI Information

OUR LADY OF THE LAKE UNIVERSITY is a mental health (including community mental health center) clinic center in San Antonio, TX. OUR LADY OF THE LAKE UNIVERSITY NPI is 1982753448. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Counseling Service.

The provider's business location address is:

590 N GENERAL MCMULLEN DR
3
SAN ANTONIO, TX
ZIP 78228-205
Phone: (210) 434-1054
Fax: (210) 434-1380

The provider's authorized official is Bernadette H Solorzano .
The authorized official title is Clinic Director and has the following contact phone number (210) 434-1054.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 6/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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