MEDICARE: THE PEARL RECOVERY CENTER

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
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1033810916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PEARL RECOVERY CENTER

Provider Business Mailing Address
First Line	:	125 UPPER ELGIN RIVER RD
Second Line	:
City	:	ELGIN
State	:	TX
Zip	:	78621-5604
Country	:	US
Telephone Number	:	850-750-8422
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 UPPER ELGIN RIVER RD
Second Line	:
City	:	ELGIN
State	:	TX
Zip	:	78621-5604
Country	:	US
Telephone Number	:	850-750-8422
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TIM MAY
Credential	:
Telephone Number	:	512-661-2197

Provider Enumeration Date	:	03/16/2023
Last Update Date	:	09/25/2025

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Directions to “THE PEARL RECOVERY CENTER ” Practice Location

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