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Organization
ORIGINS SPI, LLC
Active
Organization
ORIGINS SPI, LLC
Active
Parent organization
ORIGINS SPI, LLC
Other names
Restored Path Detox
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORIGINS SPI, LLC
Authorized official
HILARY HOLLINGSWORTH SOJOURNER (EXECUTIVE DIRECTOR)
(817) 721-2372
Entity
Organization
Contact information
Practice address
11777 LEBANON RD, FRISCO, TX 75035-6295
(469) 827-0000
Mailing address
11777 LEBANON RD, FRISCO, TX 75035-6295
(817) 721-2372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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