=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053831610
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SNORS STEPS TO RECOVERY, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/26/2017
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 525 N SAM HOUSTON PKWY E STE 416
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77060-4016
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-619-3414
-----------------------------------------------------
Fax | 281-667-3281
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 525 N SAM HOUSTON PKWY E STE 416
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77060-4016
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-448-6800
-----------------------------------------------------
Fax | 281-667-3281
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER AND FOUNDER
-----------------------------------------------------
Name | MARY DIANE SAVOY
-----------------------------------------------------
Credential | BS, MA, MS, LCDC
-----------------------------------------------------
Telephone | 281-448-6800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 276400000X
-----------------------------------------------------
Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
-----------------------------------------------------
License Number | 11625
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------