164 Recovery Center | |
701 Ne 5th St Suite A Hubbard TX 76648-2203 | |
(254) 576-1040 | |
Not Available |
Full Name | 164 Recovery Center |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 701 Ne 5th St, Hubbard, Texas |
Authorized Official Name and Position | William W Porter (OWNER, CEO) |
Authorized Official Contact | 2149348844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
164 Recovery Center 5526 Dyer St Dallas TX 75206-5031 Ph: (214) 934-8844 | 164 Recovery Center 701 Ne 5th St Suite A Hubbard TX 76648-2203 Ph: (254) 576-1040 |
NPI Number | 1154722908 |
---|---|
Provider Enumeration Date | 09/11/2014 |
Last Update Date | 09/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154722908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 3775-3776 (Texas) | Primary |