Provider Type Icon

ORIGINS SPI LLC NPI 1962152405


NPI Information

NPI: 1962152405
Provider Name: ORIGINS SPI, LLC

Doing Business As: RESTORED PATH DETOX

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 45D2264252

Address:
11777 LEBANON RD
FRISCO, TX
ZIP 75035
Phone: (561) 841-1142
Get Directions

ORIGINS SPI, LLC is a substance abuse rehabilitation facility in Frisco, TX. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ORIGINS SPI, LLC NPI is 1962152405. The provider is registered as an organization entity type.
The provider Is Doing Business As Restored Path Detox.

The provider's business location address is:

11777 LEBANON RD
FRISCO, TX
ZIP 75035-295
Phone: (561) 841-1142

The provider's authorized official is James D Caldwell .
The authorized official title is Ceo and has the following contact phone number (214) 283-8620.

The CLIA number assigned to this NPI record is 45D2264252 - other - resident detox facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2022 and was last updated on 3/23/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.