Provider Demographics
NPI:1063728855
Name:LA PAZ BEHAVIORAL HEALTH, R.G.V., INC.
Entity type:Organization
Organization Name:LA PAZ BEHAVIORAL HEALTH, R.G.V., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF STAFF
Authorized Official - Prefix:MR
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CASTELEYN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-697-5700
Mailing Address - Street 1:900 E REDBUD AVE
Mailing Address - Street 2:SUITE F/G
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2639
Mailing Address - Country:US
Mailing Address - Phone:956-683-1311
Mailing Address - Fax:
Practice Address - Street 1:900 E REDBUD
Practice Address - Street 2:SUITE F/G
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2639
Practice Address - Country:US
Practice Address - Phone:956-683-1311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)