Organization · NPI-2

Amberark Haven Residence

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · San Antonio, TX

NPI number1598518334
StatusActive
Last updated in NPPESApr 10, 2024

Details

NPI
1598518334
Entity type
Organization (NPI-2)
Legal business name
Amberark Haven Residence
Organization subpart
No
Enumeration date
Apr 10, 2024
Certification date
Apr 10, 2024
Last updated
Apr 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

4218 Parkwood Dr
San Antonio, TX 78218-5024

Phone 210-640-4488

Mailing address

216 Scofield Ave
Bridgeport, CT 06605-2928

Authorized official

Maureen Alexander
Onwer
6465915143

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