NPI:
1295037885
Provider Name:
ADDICTION ALTERNATIVES FOR OPIATE--HEROIN, INC.
Doing Business As: ADD-LIFE RECOVERY CENTER
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 45D2042484
Address:
3322 E 5TH ST
TYLER, TX
ZIP 75701
Phone:
(903) 596-0606
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ADDICTION ALTERNATIVES FOR OPIATE--HEROIN, INC. is a rehabilitation and substance use disorder clinic center in Tyler, TX. ADDICTION ALTERNATIVES FOR OPIATE--HEROIN, INC. NPI is 1295037885. The provider is registered as an organization entity type.
The provider Is Doing Business As Add-life Recovery Center.
The provider's business location address is:
3322 E 5TH ST
TYLER, TX
ZIP 75701-144
Phone: (903) 596-0606
Fax: (903) 596-0661
The provider's authorized official is Vincentine S Adelman .
The authorized official title is Program Sponsor and has the following contact phone number (903) 596-0606.
The CLIA number assigned to this NPI record is 45D2042484 - other - opiate treatment ctr with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/2/2010 and was last updated on 12/2/2010.