| NPI | 1154722908 |
|---|---|
| Other Name | 164 RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM W PORTER Owner, CEO 214-934-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3775-3776) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |