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General NPI Number Information
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NPI Number | 1659004455
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Entity Type | Organization
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Legal Business Name | ABBA RECOVERY CENTER LLC
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 05/18/2025
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Provider Practice Location Address
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Address Line | 9950 WESTPARK DR STE 210
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City | HOUSTON
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State | TX
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Zip | 77063-5199
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Country | US
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Telephone | 713-928-0337
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Fax | 281-533-8007
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Provider Business Mailing Address
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Address Line | 9950 WESTPARK DR STE 210
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City | HOUSTON
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State | TX
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Zip | 77063-5199
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Country | US
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Telephone | 713-928-0337
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Fax | 281-533-8007
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | CAROL UCHECHUKWU
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Credential | LCDC
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Telephone | 346-242-0275
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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