MEDICARE: ADAEGO RECOVERY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1144963273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAEGO RECOVERY CENTER

Provider Business Mailing Address
First Line	:	4322 HERRIDGE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-3945
Country	:	US
Telephone Number	:	346-857-4883
Fax Number	:

Provider Business Practice Location Address
First Line	:	4322 HERRIDGE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-3945
Country	:	US
Telephone Number	:	346-857-4883
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	CHIKA GALEGA-SABUM
Credential	:	BSN
Telephone Number	:	346-857-4883

Provider Enumeration Date	:	04/17/2022
Last Update Date	:	05/15/2026

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Directions to “ADAEGO RECOVERY CENTER ” Practice Location

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