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Organization

ONTO TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLEN DUNCAN MD (OWNER)
(210) 614-4805
Entity
Organization

Contact information

Practice address
23103 IH 10 W STE 105, SAN ANTONIO, TX 78257-1689
(210) 614-4805
(210) 614-4009
Mailing address
45 NE LOOP 410 STE 850, SAN ANTONIO, TX 78216-5824
(210) 805-9800

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J2209
TX LICENSE
Enumeration date
11/08/2018
Last updated
11/09/2018
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