Organization
OPIATE TREATMENT CENTERS OF AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HAHN (MANAGING-MEMBER)
(210) 529-0208
Entity
Organization
Contact information
Practice address
9846 LORENE LN, SAN ANTONIO, TX 78216-4438
(210) 340-0049
Mailing address
8647 WURZBACH RD, BUILDING J100, SAN ANTONIO, TX 78240-1225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
70240
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
72477
TX
Other
Enumeration date
02/15/2017
Last updated
09/13/2017
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