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General NPI Number Information
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NPI Number | 1265447015
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Entity Type | Organization
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Legal Business Name | STARLITE RECOVERY CENTER, LLC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 230 MESA VERDE DRIVE EAST
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City | CENTER POINT
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State | TX
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Zip | 78010
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Country | US
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Telephone | 830-634-2212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 317
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City | CENTER POINT
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State | TX
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Zip | 78010-0317
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Country | US
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Telephone | 830-634-2212
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Fax | 830-634-2532
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Authorized Official
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Title or Position | VICE PRESIDENT & SECRETARY
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Name | BRIAN P. FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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