Presidio Behavioral Health Care Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2377-O Issued in TX

Legal business name

PRESIDIO BEHAVIORAL HEALTH CARE SERVICES

Practice address

1820 E Griffin Pkwy Ste a H
Mission, TX 78572-3027

Phone

(956) 583-3300

Fax

(956) 583-3304

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Todd Kitsmiller

Title

LPC

Phone

(956) 583-3300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386651958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E GRIFFIN PKWY STE H",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723109",
            "telephone_number": "956-583-3300",
            "fax_number": "956-583-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E GRIFFIN PKWY STE A H",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723027",
            "telephone_number": "956-583-3300",
            "fax_number": "956-583-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDIO BEHAVIORAL HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KITSMILLER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "956-583-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "2377-O",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Mission, TX
• Providers in Mission, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.