Basic Information
| Provider Information | |||||||||
| NPI: | 1154782548 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STRATEGIC BH-BROWNSVILLE LLC | ||||||||
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| OtherOrganizationName: | PALMS BEHAVIORAL HEALTH | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8295 TOURNAMENT DR | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381258906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9019693100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 613 VICTORIA LN | ||||||||
| Address2: | |||||||||
| City: | HARLINGEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785500235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9563652600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2016 | ||||||||
| LastUpdateDate: | 01/31/2022 | ||||||||
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| AuthorizedOfficialLastName: | SCHWIEGER | ||||||||
| AuthorizedOfficialFirstName: | SCOTT | ||||||||
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| AuthorizedOfficialTitleorPosition: | GENERAL COUNSEL AND CCO | ||||||||
| AuthorizedOfficialTelephone: | 6157164924 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 283Q00000X | Y | Hospitals | Psychiatric Hospital |
No ID Information.