| Opiate Treatment Centers Of America, Llc | |
|
9846 Lorene Ln San Antonio TX 78216-4438 | |
| (210) 340-0049 | |
| Not Available |
| Full Name | Opiate Treatment Centers Of America, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9846 Lorene Ln, San Antonio, Texas |
| Authorized Official Name and Position | Jason Hahn (MANAGING-MEMBER) |
| Authorized Official Contact | 2105290208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opiate Treatment Centers Of America, Llc 8647 Wurzbach Rd Building J100 San Antonio TX 78240-1225 Ph: () - | Opiate Treatment Centers Of America, Llc 9846 Lorene Ln San Antonio TX 78216-4438 Ph: (210) 340-0049 |
| NPI Number | 1679012215 |
|---|---|
| Provider Enumeration Date | 02/15/2017 |
| Last Update Date | 09/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679012215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 72477 (Texas) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 70240 (Texas) | Primary |
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