| Kingdom Outreach Center Of San Antonio, Tx | |
|
Kingdom Out Reach Center Of San Antonio 3819 Naco Perrin Blvd #118 San Antonio TX 78217 | |
| (210) 687-9715 | |
| Not Available |
| Full Name | Kingdom Outreach Center Of San Antonio, Tx |
|---|---|
| Speciality | Counselor |
| Location | Kingdom Out Reach Center Of San Antonio, San Antonio, Texas |
| Authorized Official Name and Position | Kenneth Brown (LEAD CONSULTANT) |
| Authorized Official Contact | 2106879715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Outreach Center Of San Antonio, Tx 6027 Red Rose San Antonio TX 78244-4431 Ph: () - | Kingdom Outreach Center Of San Antonio, Tx Kingdom Out Reach Center Of San Antonio 3819 Naco Perrin Blvd #118 San Antonio TX 78217 Ph: (210) 687-9715 |
| NPI Number | 1699307173 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699307173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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