Tri-canyon Mental Health Services | |
382 Bud Danner Drive Twin Fork Estates-box 1998 Leakey TX 78873-1998 | |
(210) 260-2204 | |
(830) 232-5928 |
Full Name | Tri-canyon Mental Health Services |
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Speciality | Social Worker - Clinical |
Location | 382 Bud Danner Drive, Leakey, Texas |
Authorized Official Name and Position | Belia C Aguilar (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2102602204 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tri-canyon Mental Health Services Box 1998 382 Bud Danner Drive, Twin Forks Estates Leakey TX 78873-1998 Ph: (210) 260-2204 | Tri-canyon Mental Health Services 382 Bud Danner Drive Twin Fork Estates-box 1998 Leakey TX 78873-1998 Ph: (210) 260-2204 |
NPI Number | 1336573294 |
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Provider Enumeration Date | 08/28/2013 |
Last Update Date | 01/03/2014 |
Identifier | Type | State | Issuer |
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1336573294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |