Provider Demographics
NPI:1104658335
Name:SAN ANTONIO COUNCIL ON ALCOHOL AND DRUG AWARENESS
Entity type:Organization
Organization Name:SAN ANTONIO COUNCIL ON ALCOHOL AND DRUG AWARENESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBARIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, LCDC
Authorized Official - Phone:210-290-2727
Mailing Address - Street 1:7500 W US HIGHWAY 90 # 201
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-4030
Mailing Address - Country:US
Mailing Address - Phone:210-290-2727
Mailing Address - Fax:
Practice Address - Street 1:7500 W US HIGHWAY 90 # 201
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-4030
Practice Address - Country:US
Practice Address - Phone:210-290-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)