Provider Demographics
NPI:1568805745
Name:SEXUAL TRAUMA & ASSAULT RESPONSE SERVICES, INC.
Entity Type:Organization
Organization Name:SEXUAL TRAUMA & ASSAULT RESPONSE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-533-7700
Mailing Address - Street 1:710 N CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5202
Mailing Address - Country:US
Mailing Address - Phone:915-533-7700
Mailing Address - Fax:915-533-6727
Practice Address - Street 1:710 N CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5202
Practice Address - Country:US
Practice Address - Phone:915-533-7700
Practice Address - Fax:915-533-6727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-08
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID