BEXAR COUNTY BOARD OF TRUSTEES FOR MENTAL HEALTH MENTAL RETARDATION

Provider Demographics

• NPI: 1730134586
• Name: BEXAR COUNTY BOARD OF TRUSTEES FOR MENTAL HEALTH MENTAL RETARDATION
• Entity Type: Organization
• Organization Name: BEXAR COUNTY BOARD OF TRUSTEES FOR MENTAL HEALTH MENTAL RETARDATION
• Other - Org Name: THE CENTER FOR HEALTH CARE SERVICES
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CREDENTIALING SUPERVISOR
• Authorized Official - First Name: EUGENE
• Authorized Official - Last Name: GARCIA
• Authorized Official - Phone: 210-261-1072
• Mailing Address - Street 1: 6800 PARK TEN BLVD
• Mailing Address - Street 2: SUITE 200-S
• Mailing Address - City: SAN ANTONIO
• Mailing Address - State: TX
• Mailing Address - Zip Code: 78213-4200
• Mailing Address - Country: US
• Mailing Address - Phone: 210-261-1000
• Mailing Address - Fax: 210-261-1821
• Practice Address - Street 1: 6800 PARK TEN BLVD
• Practice Address - Street 2: SUITE 200-S
• Practice Address - City: SAN ANTONIO
• Practice Address - State: TX
• Practice Address - Zip Code: 78213-4200
• Practice Address - Country: US
• Practice Address - Phone: 210-261-1000
• Practice Address - Fax: 210-261-1821
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-23
• Last Update Date: 2023-05-26

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	101Y00000X	Behavioral Health & Social Service Providers	Counselor		Group - Multi-Specialty
No	171M00000X	Other Service Providers	Case Manager/Care Coordinator		Group - Multi-Specialty
No	251B00000X	Agencies	Case Management		Group - Multi-Specialty
No	251S00000X	Agencies	Community/Behavioral Health		Group - Multi-Specialty
No	261QD1600X	Ambulatory Health Care Facilities	Clinic/Center	Developmental Disabilities	Group - Multi-Specialty
No	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)	Group - Multi-Specialty
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty	Group - Multi-Specialty
No	261QM2800X	Ambulatory Health Care Facilities	Clinic/Center	Methadone	Group - Multi-Specialty
No	261QR0405X	Ambulatory Health Care Facilities	Clinic/Center	Rehabilitation, Substance Use Disorder	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
TX	137251807	Medicaid
TX	214282001	Medicaid
TX	137251803	Medicaid
TX	214247301	Medicaid
TX	137251805	Medicaid
TX	137251806	Medicaid
TX	214224201	Medicaid
TX	214269701	Medicaid
TX	214284601	Medicaid
TX	137251802	Medicaid
TX	137251808	Medicaid
TX	137251806	Medicaid