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General NPI Number Information
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NPI Number | 1316136393
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Entity Type | Organization
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Legal Business Name | DIRECTIONS OF RECOVERY, INC.
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 513 THORNTON RD
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City | HOUSTON
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State | TX
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Zip | 77018-3320
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Country | US
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Telephone | 713-695-5242
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Fax | 713-695-1071
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Provider Business Mailing Address
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Address Line | 513 THORNTON RD
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City | HOUSTON
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State | TX
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Zip | 77018-3320
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Country | US
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Telephone | 713-695-5242
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Fax | 713-695-1071
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JERRY JOHNSON
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Credential | LCDC
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Telephone | 713-695-5242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 2286-A
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License Number State | TX
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