DIVERSE RECOVERY NPI 1558653444

NPI Information

  • NPI: 1558653444
  • Provider Name: DIVERSE RECOVERY
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 3130 STRAWBERRY RD
    SUITE C
    PASADENA, TX
    ZIP 77504
  • Phone: (832) 984-1868

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NPI Details

DIVERSE RECOVERY is a rehabilitation and substance use disorder clinic center in Pasadena, TX. DIVERSE RECOVERY NPI is 1558653444. The provider is registered as an organization entity type.

The provider's business location address is:

3130 STRAWBERRY RD
SUITE C
PASADENA, TX
ZIP 77504-767
Phone: (832) 984-1868

The provider's authorized official is Taj Clark .
The authorized official title is Ceo and has the following contact phone number (832) 984-1868.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 5/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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