Ksa Addiction Treatment LLC

NPI #1750046074 in Desoto, Texas

Provider Information

NPI Number
1750046074
Entity Type
Organization
Organization Name
Ksa Addiction Treatment LLC
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Nov 2, 2021
Last Updated
Nov 10, 2021

Practice Location

Address
132 HILLSIDE LN
City
Desoto
State
Texas
ZIP Code
75115-5910
Phone
(469) 321-1346

Authorized Official

Name
MYLAN WATSON-SHAW, LCDC
Title
LICENSED CHEMICAL DEPENDENCY
Phone
(469) 321-1346

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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