MEDICARE: UNCONDITIONAL RECOVERY SERVICES LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1659748721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNCONDITIONAL RECOVERY SERVICES LLC

Provider Business Mailing Address
First Line	:	9112 SPRING BRANCH DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-7454
Country	:	US
Telephone Number	:	832-649-8650
Fax Number	:

Provider Business Practice Location Address
First Line	:	9112 SPRING BRANCH DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-7454
Country	:	US
Telephone Number	:	832-649-8650
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. RYAN JAMES BAILEY
Credential	:	BA
Telephone Number	:	713-992-4238

Provider Enumeration Date	:	08/25/2015
Last Update Date	:	01/12/2016

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Directions to “UNCONDITIONAL RECOVERY SERVICES LLC ” Practice Location

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