| The Other Side Treatment Center, Pllc | |
|
3619 Paesanos Pkwy Shavano Park TX 78231-1253 | |
| (888) 509-2306 | |
| Not Available |
| Full Name | The Other Side Treatment Center, Pllc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3619 Paesanos Pkwy, Shavano Park, Texas |
| Authorized Official Name and Position | Ellen Duncan (MANAGING MEMBER) |
| Authorized Official Contact | 8885092306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Other Side Treatment Center, Pllc 3619 Paesanos Pkwy Shavano Park TX 78231-1253 Ph: (888) 509-2306 | The Other Side Treatment Center, Pllc 3619 Paesanos Pkwy Shavano Park TX 78231-1253 Ph: (888) 509-2306 |
| NPI Number | 1477062032 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477062032 | NPI | - | NPPES |
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