NPI: 1053693820
Provider Name: SERVICE ORGANIZATION BENEFITING RECOVERY
Doing Business As: LIFEWAY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
12955 MEMORIAL DR STE F225
HOUSTON, TX
ZIP 77079
Phone: (713) 270-6753
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SERVICE ORGANIZATION BENEFITING RECOVERY is a rehabilitation and substance use disorder clinic center in Houston, TX. SERVICE ORGANIZATION BENEFITING RECOVERY NPI is 1053693820. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lifeway.
The provider's business location address is:
12955 MEMORIAL DR STE F225
HOUSTON, TX
ZIP 77079-302
Phone: (713) 270-6753
The provider's authorized official is John C Cates .
The authorized official title is Executive Director and has the following contact phone number (713) 459-9427.
The enumeration date for this NPI number is 9/16/2011 and was last updated on 5/30/2013.