The Other Side Treatment Center, Pllc
NPI #1477062032 in Shavano Park, Texas
Provider Information
- NPI Number
- 1477062032
- Entity Type
- Organization
- Organization Name
- The Other Side Treatment Center, Pllc
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 27, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 3619 PAESANOS PKWY
- City
- Shavano Park
- State
- Texas
- ZIP Code
- 78231-1253
- Phone
- (888) 509-2306
Authorized Official
- Name
- ELLEN DUNCAN, MD
- Title
- MANAGING MEMBER
- Phone
- (888) 509-2306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Family Medicine |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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