Provider Demographics
NPI:1750820858
Name:BEHAVIORAL AND CONSULTANT NURSES OF SOUTH TEXAS LLC
Entity Type:Organization
Organization Name:BEHAVIORAL AND CONSULTANT NURSES OF SOUTH TEXAS LLC
Other - Org Name:ESPERANZA COMMUNITY BEHAVIORAL HEALTH CENTER OF SAN JUAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-227-8787
Mailing Address - Street 1:1103 N RAUL LONGORIA RD
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3600
Mailing Address - Country:US
Mailing Address - Phone:956-227-8787
Mailing Address - Fax:
Practice Address - Street 1:1103 N RAUL LONGORIA RD
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3600
Practice Address - Country:US
Practice Address - Phone:956-227-8787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)