United Black and Brown

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

UNITED BLACK AND BROWN

Practice address

648 Delmar St
San Antonio, TX 78210-2466

Phone

(210) 533-3433

Fax

(210) 533-9333

NPI assigned

Aug 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Delores J. Bradley, ACSW, LMSW-ACP

Title

Executive Director

Phone

(210) 533-3433

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1346433398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 DELMAR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782102466",
            "telephone_number": "210-533-3433",
            "fax_number": "210-533-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 DELMAR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782102466",
            "telephone_number": "210-533-3433",
            "fax_number": "210-533-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED BLACK AND BROWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DELORES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-533-3433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACSW, LMSW-ACP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.