CLAYTON & BLUE RECOVERY (NPI# 1548784705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548784705 |
Entity Type | Organization |
Organization Name | CLAYTON & BLUE RECOVERY |
Practice Address |
7603 Caballo Cyn San Antonio TX 78244-3513 |
Practice Telephone | (937) 765-2343 |
Mailing Telephone | 9377652343 |
Enumeration Date | 2017-07-31 |
Last Update Date | 2017-07-31 |
Authorized Official Name | MRS. STACIA ALLEN (OWNER) |
Authorized Official Telephone | 9377652343 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Street Address |
7603 CABALLO CYN |
City | SAN ANTONIO |
State | TX |
Zip Code | 78244-3513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750806428 | Stacia Allen | Counselor | 7603 Caballo Cyn, San Antonio, TX 78244-3513 | 2017-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003398082 | Rhenita Clay | Occupational Therapy Assistant | 6802 Still Lake, San Antonio, TX 78244 | 2018-09-05 |
1073004594 | Adam Sumner Dmd Pllc | Dentist | 5975 W Farm To Market Rd 78 #360, San Antonio, TX 78244 | 2018-05-21 |
1689181091 | Texas Tens Unlimited Inc. | Durable Medical Equipment & Medical Supplies | 7975 Fm 78, Suite 2, San Antonio, TX 78244 | 2018-01-08 |
1699144022 | Rackham Dental LLC | Dentist | 6658 Summer Fest Drive, San Antonio, TX 78244 | 2015-09-16 |
1366822421 | Larry Williamson | Counselor | 602 E. Afton Oaks Blvd, San Antonio, TX 78244 | 2015-06-04 |
1417334574 | Jamaica D Bates | Counselor | 7134 Elm Trail, San Antonio, TX 78244 | 2015-04-28 |
1386984656 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4096 North Foster, San Antonio, TX 78244 | 2013-02-25 |
1033459607 | Doris A Mantos | Durable Medical Equipment & Medical Supplies | 7975 Fm 78 Ste 1, San Antonio, TX 78244 | 2013-02-19 |
1588822308 | Costance Yvette Staten | Assisted Living Facility | 7000 Gulfshore, San Antono, TX 78244 | 2008-05-29 |
1073734679 | Felix H Flores | Physical Therapy Assistant | 4154 Mystic Sunrise, San Antonio, TX 78244 | 2007-05-01 |
Find all providers in zip 78244 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1730742198 | Serenity Oaks, Pllc | Clinic/Center | 5368 Fredericksburg Rd Ste 100, San Antonio, TX 78229-6108 | 2019-04-20 |
1639636335 | Phoenix Houses of Texas, Inc | Clinic/Center | 1135 Mission Rd Bldg 2, San Antonio, TX 78210-4505 | 2019-02-28 |
1336599182 | Soba Texas LLC | Clinic/Center | 1401 Dezarae, Lot 4, San Antonio, TX 78253 | 2016-06-13 |
1639491970 | Alpha Home Inc | Clinic/Center | 300 E Mulberry Ave, San Antonio, TX 78212-3023 | 2010-02-26 |
1114050010 | Preferred Family Healthcare | Clinic/Center | 306 S Flores St, San Antonio, TX 78204-1106 | 2007-03-13 |
1841768702 | Onto Treatment Center | Clinic/Center | 23103 Ih 10 W Ste 105, San Antonio, TX 78257-1689 | 2018-11-08 |
1700393972 | Nuhope Sa Recovery LLC | Clinic/Center | 19026 Ridgewood Pkwy Ste 311, San Antonio, TX 78259-5502 | 2018-01-09 |
1780031237 | Taj Management, LLC | Clinic/Center | 10730 Potranco Rd, Ste 122-242, San Antonio, TX 78251-3327 | 2016-05-14 |
1912382748 | The Best Option, Limited Liability Company | Clinic/Center | 3700 Fredericksburg Rd Ste 137, San Antonio, TX 78201-3268 | 2015-07-22 |
1942434725 | San Antonio Lifetime Recovery, Inc. | Clinic/Center | 10290 Southton Rd, San Antonio, TX 78223-4835 | 2009-05-08 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78244 |
Please comment or provide details below to improve the information on CLAYTON & BLUE RECOVERY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.