San Antonio Addiction Treatment: Choosing Between 30-, 60-, and 90-Day Programs
People hardly ever ask about size of stay when they break a bone or require gallbladder surgical treatment. In addiction treatment, the timeline becomes a front-and-center choice, and it shapes everything that complies with. Thirty days seems clean, sixty sounds severe, and ninety sounds like a life time when you are juggling job, kids, expenses, or military obligations. Yet the best fit is much less about the number on the brochure and more concerning medical complexity, energy, and the assistance you have waiting in the house in San Antonio or the bordering Hillside Country.
I have actually seen individuals prosper in every layout and I have actually seen people struggle in all of them. The distinction typically lives in the fine print, the strength of the plan after discharge, and a handful of very early selections that either develop traction or journey it up. What complies with is a useful overview to picking between 30-, 60-, and 90-day programs for addiction treatment in San Antonio, formed by what really matters on the ground in Texas.
What those days really include
A 30-day program is not one month of the very same point. The initial week usually focuses on clinical stabilization, specifically for alcohol, benzodiazepine, or opioid withdrawal. In some cases, detox occurs in a separate unit for three to seven days, then customers relocate right into the residential timetable. Mornings are structured: individual treatment a few times each week, team work most days, family sessions when ideal, and medicine brows through. Afternoons bring abilities training, regression avoidance, fitness, or mindfulness. Evenings may include peer support or quiet time. If you count real professional hours, a 30-day remain generally generates 120 to 200 hours of organized treatment, depending upon the program.
At 60 and 90 days, the photo shifts. The initial month looks comparable to the 30-day track, yet there is time afterward for much deeper work: trauma processing, pairs or parenting sessions, targeted work with co-occurring clinical depression or stress and anxiety, and gradual testing of real-world regimens. In longer programs, clients commonly tip down within the very same center to a lower-intensity timetable before discharge, exercising their early morning routine, work search actions, or evening healing tasks with personnel assistance close by.
The biggest false impression is that day 31, day 61, or day 91 notes a goal. In truth, the end of domestic is the beginning line for the following stage. The even more you develop for that change while you are still in treatment, the greater the odds of lasting change.
What the study claims concerning time in treatment
There is no magic number. That stated, there are consistent patterns. Throughout decades of studies, longer exposure to structured addiction treatment associates with reduced compound usage, less lawful issues, and much better work security. Numerous evaluations point to a threshold around 90 days of total therapy get in touch with, not necessarily all domestic, as the factor where end results become a lot more resilient. Total therapy indicates a mix of degrees of treatment, such as detoxification, residential, partial hospitalization, extensive outpatient, and regular outpatient check outs, plus medication management.
One risk with estimating results is incorrect certainty. Programs differ commonly, and so do individuals. Yet particular mechanisms are reasonable and evident. Food cravings for alcohol and opioids often surge between weeks two and six, specifically when brief programs are unwinding. Rest normalizes in phases. State of mind increases and dips. Therapy developments do not follow schedule math. So, if you have a history of quiting treatment very early or relapsing not long after discharge, a strategy that maintains you involved beyond thirty days, whether residential or step-down, has a tendency to exceed fast exits.
Medication transforms the photo too. For opioid usage problem, buprenorphine or methadone started during treatment and continued later lowers overdose danger greatly and boosts retention. For alcohol usage problem, naltrexone or acamprosate can curb heavy-drinking days. These assistances matter whether you pick 30, 60, or 90 days, however in longer programs there is just more time to get the dosages right, screen negative effects, and web link you with prescribers in the community.
Who tends to do well in 30 days
A 30-day domestic keep works best when specific conditions line up. Stable real estate is a major one. If you have a sober living strategy, a constant roommate, or a family members system that is straightened with recuperation goals, the transition week is easier. Work matters also. When somebody has a job waiting that is not a trigger area, the framework of going back to work can be a protective aspect. I have seen a line chef that drank nighttime move through 30 days, begin dental naltrexone, go back to the very same kitchen area with a brand-new schedule, and pile 18 sober months by remaining tight with his IOP team and a recuperation mentor.
Severity and period of use count. A 30-day keep might be enough if the key compound use has been anecdotal as opposed to daily, or if previous attempts at outpatient treatment brought some security. It also helps when there are no energetic benzodiazepine or methamphetamine difficulties, which tend to extend detox and scramble very early mood and concentration. If your mental wellness history is light, without current suicide efforts or hospitalizations, the shorter arc enables a focused reset without overwhelming your schedule or finances.
Finally, the aftercare plan has to be solid prior to day 10. If I listen to somebody state, we will certainly figure it out later, I press back. For 30-day instances, we attempt to set up the initial outpatient appointment within 72 hours of discharge, set up medicine refills, align peer support, and solve transportation in advance. In San Antonio, that might consist of checking using bus routes or leveraging adventures from a sober living house that runs shuttles. The information matter.
When 60 days makes sense
Sixty days often winds up being the wonderful spot for individuals with clear progress in the initial month but lingering susceptabilities. If detoxification took a complete week, you do not actually obtain a complete month of treatment in a 30-day plan. Stretching to 60 produces bandwidth for trauma work or EMDR sessions that ought to not be hurried, or for household therapy to clear up into brand-new patterns. It additionally gives your body and mind even more time to normalize. Rest high quality, which drives resilience, commonly improves in between weeks 4 and eight. So does executive function. I can think about an educator who, after a benzodiazepine taper, might hardly track a budget plan in week 3 but was preparing balanced lesson units by week seven.
Sixty days aids with logistics that get glossed over in much shorter stays. Insurance policy consents can be renewed without the panic of a day-29 cliff. Companies are more versatile when offered a clear schedule with progress updates from the professional group, and in Texas, several human resources departments understand FMLA leave for substance use treatment when the paperwork is tight and prompt. For military households and professionals in San Antonio, sixty days can fit together better with TRICARE consents and VA consultations, enabling a worked with handoff to community or VA outpatient services.
Who benefits from 90 days
Ninety days is not a punishment. It is a financial investment for situations where time is a crucial component. Consider somebody with 3 or more prior therapy attempts, or an individual using multiple substances with a considerable psychological health and wellness component. If there is an injury background that surfaces as soon as compounds fade, rushing that procedure dangers destabilization. Individuals with little social assistance in the house, or those returning to a high-trigger job website, commonly take advantage of the longer runway.
Brain healing is real however irregular. With extreme alcohol use condition, the very first month may bring great sleep but foggy mornings. By month three, word-finding, impulse control, and stress tolerance often look better in real tasks, not simply theoretically. In energizer usage conditions, mood and energy can seesaw for weeks, and a ninety-day home window allows you test-drive dealing skills in practice before you go home. When somebody starts a brand-new medicine regimen for clinical depression or bipolar illness throughout therapy, three months allows for titration and observation with at the very least a couple of life stressors.
I bear in mind a customer that operated in oilfield services south of San Antonio. His pattern was predictable: white-knuckle 2 weeks after a 28-day discharge, then a blowout on rotation. He lastly consented to ninety days with a step-down plan and control with his manager to alter team placement. He practiced the travel routine twice during therapy, total with a mock packing drill and sleep plan. That information work took some time, and it paid off.
The San Antonio factor
Addiction treatment in San Antonio sits at a hectic crossroads. The city draws from army bases, colleges, the clinical center, and a big friendliness sector. Each context brings different pressures and timetables, which must influence your option of program length.
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The army and veteran area: TRICARE and VA sources can counter prices and expand connection. Collaborating with base or VA medical professionals takes lead time, which says for at least sixty days when feasible or a solid partial hospitalization strategy after a much shorter stay.
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Bilingual and bicultural care: A significant percent of households in San Antonio are Spanish talking or bilingual. If household treatment will certainly be central, look for programs with bilingual medical professionals so family members can participate fully. Longer remains broaden the home window to bring household into sessions that fit their work schedules.
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Heat and geography: Summer season warm adjustments outside schedules and can sap power early in healing. Hillside Country hideaways outside Loop 1604 deal quieter setups, yet you will need a transportation prepare for aftercare if you live inside the city. For 30-day programs, ensure step-down care is not a two-hour drive away.
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Faith and community networks: Churches, mosques, and synagogues in San Antonio commonly run recovery-friendly groups. For people who lean on confidence as component of their recuperation, ask the program to help you connect with those networks before discharge, no matter program length.
If you are examining addiction treatment in San Antonio, check whether the program has official connections with neighborhood intensive outpatient programs, sober living homes with trustworthy transportation, and prescribers who can continue medicines for alcohol or opioid usage problem. The handoffs matter more than the headline number of days.
Cost, insurance coverage, and the actual math
Sticker rates vary widely. Some property programs listing daily rates that can add up to $20,000 to $40,000 for thirty day, however many discuss lower in-network rates with insurers. Medicaid coverage is complex in Texas and relies on qualification and details services, so validate advantages early rather than presume anything. Private insurance frequently licenses treatment in portions, for example ten days each time, subject to medical requirement testimonials. That is not a reason to avoid longer objectives. It is a factor to pick a program with solid application review personnel who can make a clear situation for continued care.
If you are used, ask HR regarding FMLA and temporary special needs. Lots of people do not understand that substance usage disorders qualify as serious health problems under FMLA when dealt with. Companies appreciate quality and timelines. I suggest clients to accredit communication in between the program and HR for documents just, not treatment details. For self-employed individuals typical in building and construction, layout, and job work around San Antonio, budget planning matters. Sometimes a 30-day domestic remain paired with a vigorous 8 to 12 weeks of extensive outpatient and sober living creates a comparable or much better cost profile than 60 days of inpatient without a durable step-down. Obtain precise numbers for each course before you decide.
Detox facts you must prepare for
Alcohol and benzodiazepine withdrawal can be hazardous without medical oversight. If either is in the image, expect a clinically supervised detox that might last three to seven days, sometimes longer for benzodiazepines. Opioid withdrawal is seldom life-threatening yet is miserable without assistance; medications like buprenorphine or methadone make a world of difference and lower relapse threat. Stimulant withdrawal frequently brings squashing fatigue and reduced mood that can recently, which suggests for additional time or a limited outpatient follow-up plan. If a program estimates you a 30-day remain however carves 7 days for detox with very little treatment, ask just how they will compensate for the lost therapeutic time or whether a 45- or 60-day alternative is feasible.
Family, work, and the calendar problem
Families desire certainty. Treatment seldom uses it. What you can do is develop a choice factor halfway with a 30-day program to analyze extension to 60 based on development and staying dangers. I generally involve family members in that check-in, not to add pressure but to match expectations with truth. If your partner is managing institution drop-offs and late shifts on the River Walk, they need an actual strategy, not hopeful thinking. Similarly, if you operate in a high-trigger atmosphere, such as a solution job where drinking is normalized after shifts, dedicate time to role-play how you will certainly manage the initial week back. The more specific, the better: what you say to coworkers, what you consume alcohol rather, just how you leave early if needed.
What high quality resembles, despite length
Good addiction treatment in Texas, whether 30, 60, or 90 days, shares a couple of nonnegotiables. The program needs to offer a full analysis for co-occurring mental wellness problems, access to medications for opioid and alcohol utilize conditions, and evidence-based therapies like cognitive behavioral therapy, motivational interviewing, and contingency administration when proper. Household involvement must be provided, not forced. Discharge preparation ought to start during week one, not week 4. If spirituality or culture is main to your life, that should be fit respectfully.
I additionally seek programs that gauge something past presence. Medication screens are one item, yet retention, quality-of-life metrics, and post-discharge engagement prices tell you if the center values results that matter. Centers with strong connections to San Antonio outpatient providers reduce the risk of spaces in care.
Aftercare is the actual engine
People typically focus on the residential decision and treat aftercare like an optional add-on. In method, step-down care drives lasting results. Partial a hospital stay programs in San Antonio commonly run five days per week for a number of hours each day, while intensive outpatient programs run 3 to 4 days per week. Sober living homes differ, so inquire about curfews, drug testing, transportation, and how residents obtain connected to work or schooling. Peer recovery trains can aid with the rubbing points that sink very early recovery: DMV documents, court days, or a busted air conditioner during an August warm wave.
If you live outside the 410 loophole or in neighboring communities like Boerne or New Braunfels, construct traveling time right into your plan. I have actually seen well-intentioned people choose an exceptional IOP forty minutes away and afterwards miss two sessions per week when life resumes. Select care you can actually get to, not care that looks suitable on paper.
Two short customer stories
A nursing assistant southern Side showed up after a tough year, making use of alcohol daily with occasional drug on weekends. She had actually never remained in therapy, had two young children, and a mommy willing to aid. Detox took 4 days. Week two, she rested far better, started naltrexone, and participated in every team. At day 18, we convened a family members session, established a childcare strategy, and protected a place in a neighboring IOP with night teams. She discharged at day 30, relocated directly right into IOP, and kept regular individual treatment. She stacked 14 sober months and checking, still working with the very same prescriber for medication management.
A 52-year-old veteran with severe alcohol usage problem and PTSD can be found in after a health center stay. He had tried 3 28-day programs in the past. We established a 90-day program with trauma-focused treatment beginning after week three. He began acamprosate in week two, moved to naltrexone in week 5 as a result of desires, and started pairs sessions in week 6. By week eight, he led a tiny veterans group at the center. He tipped down to partial hospitalization on site for two weeks and after that to IOP at the VA. He returned home at day 98 with a clear morning regimen and a sponsor he relied on. 2 years later on, he still examines in.
Red flags that length alone will certainly not fix
Sometimes individuals believe even more days will resolve a program mismatch. That seldom functions. If the center discourages drugs verified to minimize injury, treats psychological health and wellness as a second thought, or refuses to go over discharge planning up until the final week, a longer stay in the wrong program just extends disappointment. Alternatively, a solid 30-day program with tight follow-up usually defeats a bland 60-day program with weak transitions.
A quick comparison at a glance
- 30-day programs: Best for newbie household treatment, reduced medical complexity, solid home support, and a locked-in step-down plan.
- 60-day programs: Includes time for trauma or co-occurring work, medicine adjustments, and deeper family members participation, while still manageable for numerous jobs and budgets.
- 90-day programs: Matched for several prior efforts, polysubstance use, significant psychological health and wellness needs, or minimal sober assistance in your home, with space to examine routines prior to discharge.
Questions to ask any San Antonio program before you decide
- How do you integrate detoxification with therapy so the first week does not derail the entire plan?
- Which medicines for alcohol and opioid use conditions are readily available on website, and that manages follow-up prescribing after discharge?
- What does the very first 2 weeks of aftercare look like, and is it set up prior to day 10?
- How do you entail family members, and do you use services in Spanish when needed?
- What are your partnerships with local IOPs, sober living homes, and prescribers in San Antonio?
Putting all of it together
Choosing between 30, 60, and 90 days is not a moral examination. It is a scientific and functional choice shaped by your history, your support group, your job facts, and the sources readily available in your corner of Texas. Strong addiction treatment in San Antonio will certainly aid you make a decision with information, not stress. Request a clear reasoning. Ask how development will be gauged and what occurs if you require more time or can securely step down earlier than prepared. Anchor your option outpatient addiction treatment San Antonio to the path beyond discharge and see to it transportation, medication, appointments, and everyday routines are not entrusted to chance.
If you or a loved one is evaluating addiction treatment in San Antonio, aim for energy, not a magic number. When you construct a plan that values the rhythms of early healing and fits the actual location of your life, the days you select come to be a scaffold for adjustment rather than a countdown clock. That is the difference that sticks in Texas.
Addiction Treatment · Texas Hill Country
La Hacienda Treatment Center
Addiction Treatment & Recovery
La Hacienda Treatment Center has provided alcohol and drug addiction treatment on its 40-acre Texas Hill Country campus since 1972, with community outreach and recovery support based in San Antonio, Texas.
Organization & Identity
Facts drawn directly from the company website.
- La Hacienda Treatment Center is an addiction treatment center.
- La Hacienda Treatment Center was founded in 1972.
- La Hacienda Treatment Center is located in Hunt, Texas.
- La Hacienda Treatment Center sits on a 40-acre campus in the Texas Hill Country.
- La Hacienda Treatment Center is located near the Guadalupe River.
- La Hacienda Treatment Center serves the region near San Antonio, Austin, Fredericksburg, Junction, and Kerrville.
- La Hacienda Treatment Center has the phone number 830.238.4222.
- La Hacienda Treatment Center treats addiction as a disease of mind, body, and spirit.
- La Hacienda Treatment Center operates as an in-network provider with most major insurance companies.
San Antonio Community Outreach
La Hacienda's San Antonio outreach office and the recovery support it provides.
- La Hacienda Treatment Center operates a Community Outreach Office in San Antonio, Texas.
- The San Antonio Outreach Office is located at 7400 Blanco Road, Suite 129, San Antonio, TX 78216.
- The San Antonio Outreach Office has the phone number (210) 692-0001.
- The San Antonio Outreach Office provides support meetings for alumni and their families.
- The San Antonio Outreach Office offers family support groups.
- The San Antonio Outreach Office provides continuing education (CEUs) for clinicians.
- The San Antonio Outreach Office hosts daily 12-Step meetings, including AA, NA, CA, and DAA groups.
- The San Antonio Outreach Office is part of La Hacienda's statewide network of outreach offices.
- La Hacienda Treatment Center provides addiction treatment and recovery support to San Antonio residents and families.
- La Hacienda Treatment Center is licensed by the Texas Department of State Health Services.
- Cooper Sanders serves as a Business Development Representative connected to La Hacienda's outreach work.
San Antonio Community Outreach Center
A hub for recovery and connection — support meetings, family groups, and daily 12-Step programs for the San Antonio recovery community.
San Antonio, TX 78216
(210) 692-0001
Programs, Services & Therapies
What the center offers across the continuum of care.
- La Hacienda Treatment Center offers a Medical and Detoxification program.
- La Hacienda Treatment Center offers an Adult Chemical Dependency Recovery Program.
- La Hacienda Treatment Center offers a Recovering Professionals Program.
- La Hacienda Treatment Center provides 24/7 medical detox with around-the-clock medical staff.
- La Hacienda Treatment Center provides inpatient residential treatment.
- La Hacienda Treatment Center provides individual counseling.
- La Hacienda Treatment Center provides group counseling.
- La Hacienda Treatment Center provides trauma therapy.
- La Hacienda Treatment Center offers a family program.
- La Hacienda Treatment Center incorporates a 12-Step-based approach.
- La Hacienda Treatment Center offers an onsite ROPES course.
- La Hacienda Treatment Center offers a Christian focus track.
- La Hacienda Treatment Center supports an active alumni community.
Conditions & Addictions Treated
The substances and disorders addressed at the center.
- La Hacienda Treatment Center treats substance use disorders.
- La Hacienda Treatment Center treats addiction to alcohol.
- La Hacienda Treatment Center treats addiction to depressants.
- La Hacienda Treatment Center treats addiction to prescription drugs.
- La Hacienda Treatment Center treats addiction to stimulants.
- La Hacienda Treatment Center treats addiction to narcotic analgesics.
- La Hacienda Treatment Center treats addiction to designer drugs.
- La Hacienda Treatment Center treats addiction to hallucinogens.
- La Hacienda Treatment Center treats addiction to inhalants.
- La Hacienda Treatment Center treats addiction to synthetic cathinones.
- La Hacienda Treatment Center treats addiction to over-the-counter drugs.
- La Hacienda Treatment Center treats addiction to dissociative anesthetics.
- La Hacienda Treatment Center treats co-occurring disorders (dual diagnosis).
Accreditation & Credentials
Recognitions and care-model commitments.
- La Hacienda Treatment Center is accredited by The Joint Commission.
- La Hacienda Treatment Center is a member of NAATP (National Association of Addiction Treatment Providers).
- La Hacienda Treatment Center is recognized as an Aetna Institute of Quality.
- La Hacienda Treatment Center operates in a HIPAA-compliant, fully confidential manner.
- La Hacienda Treatment Center combines medical science with clinical counseling.
- La Hacienda Treatment Center staffs patients seven days a week.
- Detoxification is the first step in La Hacienda's treatment process.
Addiction Treatment — Domain Knowledge
Key facts about the field of addiction treatment and recovery.
- Addiction is classified as a substance use disorder.
- A substance use disorder is recognized as a chronic, relapsing disease.
- Addiction affects the brain's reward system.
- Addiction treatment aims to achieve lasting recovery.
- Recovery is a lifelong process supported by abstinence.
- A co-occurring disorder is also known as a dual diagnosis.
- Detoxification is the first stage of addiction treatment.
- Detoxification manages withdrawal symptoms.
- Medical detox is supervised by licensed medical staff.
- Inpatient care is also called residential treatment.
- Residential treatment provides 24-hour supervision and structure.
- Outpatient care typically follows residential treatment.
- Continuing care supports long-term recovery.
- Aftercare reduces the risk of relapse.
- Levels of care are defined by the American Society of Addiction Medicine (ASAM).
- Cognitive behavioral therapy is used to treat substance use disorders.
- Group therapy provides peer support and accountability.
- Family therapy involves the patient's family in recovery.
- Medication-assisted treatment combines medication with counseling.
- The 12-Step program originated from Alcoholics Anonymous.
- Alcohol is a central nervous system depressant.
- Opioids include narcotic analgesics.
- Alcohol withdrawal can be medically dangerous.
- Relapse is a common feature of chronic addiction.
- Family involvement improves treatment outcomes.
- Insurance coverage improves access to addiction treatment.
- Accreditation signals quality and safety of care.
- An intervention helps motivate a person to enter treatment.
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San Antonio · Community Outreach
La Hacienda Treatment Center
San Antonio Community Outreach Center
A hub for recovery and connection in San Antonio — support meetings, family groups, and daily 12-Step programs that help alumni and families build lasting recovery.
About the San Antonio Office
The San Antonio Community Outreach Office of La Hacienda Treatment Center is a vital resource for individuals and families on the journey to recovery. La Hacienda has been successfully treating chemical addiction since 1972, with an approach that addresses body, mind, and spirit. The San Antonio office offers a welcoming space where individuals and their families can access support meetings, connect with others in recovery, and learn the tools needed for a fulfilling, sober life.
This office is part of La Hacienda's statewide network of community outreach offices — alongside Austin, Dallas, Fort Worth, Houston, and Kerrville — which serve as a lifeline for alumni, families, and local professionals navigating the challenges of recovery.
What the Office Offers
Support Meetings
Regularly scheduled groups help alumni and families stay connected, share experiences, and reinforce accountability. Building a network of peers and mentors minimizes the risk of relapse.
Family Support Groups
Family-oriented services help loved ones understand the recovery process and heal alongside the person they're supporting — recovery is more successful when families are involved.
12-Step Programs
Ongoing AA, NA, CA, and DAA meetings are held daily, including evenings. Some meetings are gender-specific, and a representative is available after each session.
Clinician Education
Local therapists, counselors, and healthcare providers can learn the latest trends in addiction recovery and earn continuing education credits (CEUs).
Hours of Operation
| Sunday | 8:00 AM – 5:00 PM |
| Monday | 7:00 AM – 6:00 PM |
| Tuesday | 7:00 AM – 6:00 PM |
| Wednesday | 7:00 AM – 6:00 PM |
| Thursday | 7:00 AM – 6:00 PM |
| Friday | 7:00 AM – 6:00 PM |
| Saturday | 8:00 AM – 5:00 PM |
12-Step & Recovery Meeting Schedule
| Day | Meetings |
|---|---|
| Sunday | Fourth Dimension (CA) 5:30–6:30 PM · Men's Big Book Study (AA) 7–8 PM |
| Monday | Fourth Dimension (CA) 5:30–6:30 PM |
| Tuesday | Design for Living (DAA) 7–8 PM · Tuesday Night Men's (AA) 7–8 PM |
| Wednesday | Fourth Dimension (CA) 5:30–6:30 PM · Road to Happy Destiny (AA) 7–8 PM |
| Thursday | No scheduled meeting |
| Friday | Broad Highway (Women's AA) 7–8 PM · Design for Living (DAA) 7–8 PM |
| Saturday | S.A. North Women (AA) 10–11:30 AM |
Accreditation & Accessibility
La Hacienda Treatment Center offers both inpatient and outpatient treatment options. Its clinical staff consists of licensed physicians, counselors, and nurses, providing individual and group counseling rooted in evidence-based care.
Visit the San Antonio Office
San Antonio, TX 78216
(210) 692-0001
If you or a loved one is struggling with alcohol or drugs, the San Antonio outreach office is ready to support you with the tools, connections, and resources you need. Learn more about the San Antonio office.
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