Opiate Treatment Centers of America, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

70240 Issued in TX

Legal business name

OPIATE TREATMENT CENTERS OF AMERICA, LLC

Practice address

9846 Lorene LN
San Antonio, TX 78216-4438

Phone

(210) 340-0049

NPI assigned

Feb 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Hahn

Title

Managing-Member

Phone

(210) 529-0208

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1679012215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8647 WURZBACH RD",
            "address_2": "BUILDING J100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9846 LORENE LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164438",
            "telephone_number": "210-340-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPIATE TREATMENT CENTERS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGING-MEMBER",
        "authorized_official_telephone_number": "210-529-0208"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "72477",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "70240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.