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Organization

AUTISTIC TREATMENT CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVY ZWICKER (OPERATIONS DIRECTOR)
(210) 590-2107
Entity
Organization

Contact information

Practice address
16111 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1002
(210) 590-2107
(210) 590-3143
Mailing address
16111 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1002
(210) 590-2107
(210) 590-3143

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
09/17/2009
Last updated
09/17/2009
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