Provider Demographics
NPI:1386820777
Name:BEXAR COUNTY JUVENILE PROBATION DEPARTMENT
Entity Type:Organization
Organization Name:BEXAR COUNTY JUVENILE PROBATION DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF JUVENILE PROBATION OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-531-1813
Mailing Address - Street 1:235 E. MITCHELL ST.
Mailing Address - Street 2:REIMBURSEMENT OFFICE
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-3845
Mailing Address - Country:US
Mailing Address - Phone:210-531-1000
Mailing Address - Fax:
Practice Address - Street 1:235 E MITCHELL ST
Practice Address - Street 2:REIMBURSEMENT OFFICE
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-3844
Practice Address - Country:US
Practice Address - Phone:210-531-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17416251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services