Organization · NPI-2

Cornell Corrections Of Texas

Residential Treatment Facility, Emotionally Disturbed Children · San Antonio, TX

NPI number1952434896
StatusActive
Last updated in NPPESOct 22, 2009

Details

NPI
1952434896
Entity type
Organization (NPI-2)
Legal business name
Cornell Corrections Of Texas
Organization subpart
No
Enumeration date
Mar 13, 2007
Last updated
Oct 22, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
322D00000X Residential Treatment Facility, Emotionally Disturbed Children––Yes

Practice location

620 E Afton Oaks Blvd
San Antonio, TX 78232-1236

Phone 210-568-8600 · Fax 210-490-9430

Mailing address

620 E Afton Oaks Blvd
San Antonio, TX 78232-1236

Phone 210-568-8600 · Fax 210-490-9430

Authorized official

Michelle Ann Martenson
Business Manager
2105688600

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Residential Treatment Facility, Emotionally Disturbed Children providers in San Antonio, TX