OrganizationActive
A&j Health Services LLC
NPI 1043834773 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · San Antonio, TX
Provider details
- NPI number
- 1043834773
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Asoh Mabo, Program Director(210) 427-0509
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
- Preferred Provider Organization305R00000X
Managed Care Organizations
Practice location
5707 Black Drum
San Antonio, TX 78253-6398
Phone: (210) 427-0509
Approximate (ZIP-level) locationGet directions
Mailing address
5707 Black Drum
San Antonio, TX 78253-6398
Registry dates
- Enumerated
- 2020-05-28
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.