MEDICARE: ALL ABOUT RECOVERY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	2142	TX

General Provider Information

NPI Number	:	1790003721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ABOUT RECOVERY, INC.

Provider Business Mailing Address
First Line	:	4141 NORTH FWY
Second Line	:	SUITE 310
City	:	HOUSTON
State	:	TX
Zip	:	77022-4208
Country	:	US
Telephone Number	:	713-697-9820
Fax Number	:	713-699-8444

Provider Business Practice Location Address
First Line	:	4141 NORTH FWY
Second Line	:	SUITE 310
City	:	HOUSTON
State	:	TX
Zip	:	77022-4208
Country	:	US
Telephone Number	:	713-697-9820
Fax Number	:	713-699-8444

Authorized Official
Title or Position	:	CFO
Name	:	RHONDA G PATRICK
Credential	:	LCSW
Telephone Number	:	713-397-9098

Provider Enumeration Date	:	05/14/2010
Last Update Date	:	05/14/2010

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