Organization · Type 2 NPI
The Other Side Treatment Center, PLLC
Addiction (Substance Use Disorder) Counselor · Shavano Park, TX
NPI number
1477062032
Active
Practice location
3619 Paesanos Pkwy
Shavano Park, TX 78231-1253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
About NPI 1477062032
The Other Side Treatment Center, PLLC's National Provider Identifier is 1477062032, issued on Sep 27, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shavano Park, TX. The record was last updated on Jul 21, 2022.