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9155 Schaefer Rd Converse TX 78109-1994 | |
| (605) 650-2064 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9155 Schaefer Rd, Converse, Texas |
| Authorized Official Name and Position | Cynthia C Lawson (OWNER) |
| Authorized Official Contact | 6056502064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 345 Converse TX 78109-0345 Ph: (830) 360-0056 | 9155 Schaefer Rd Converse TX 78109-1994 Ph: (605) 650-2064 |
| NPI Number | 1770396467 |
|---|---|
| Provider Enumeration Date | 01/28/2025 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770396467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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