JORDAN V ANTONITIS

SAN ANTONIO, TX
NPI1598307753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TX  14390)
Enumeration Date2019-10-09
Last Update Date2019-10-09
Business Address
JORDAN V ANTONITIS
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1000
Mailing Address
JORDAN V ANTONITIS
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1000