Provider Demographics
NPI:1184244022
Name:ADVOCATES OF SAINT SEBASTIAN
Entity type:Organization
Organization Name:ADVOCATES OF SAINT SEBASTIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRELATE
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:LUFT
Authorized Official - Suffix:
Authorized Official - Credentials:BABTS, BC-APC/CC
Authorized Official - Phone:210-287-6100
Mailing Address - Street 1:4615 E CALIFORNIA PKWY
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76119-7571
Mailing Address - Country:US
Mailing Address - Phone:210-287-6100
Mailing Address - Fax:
Practice Address - Street 1:4615 E CALIFORNIA PKWY
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:TX
Practice Address - Zip Code:76119-7571
Practice Address - Country:US
Practice Address - Phone:210-287-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No282J00000XHospitalsReligious Nonmedical Health Care InstitutionGroup - Multi-Specialty