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Organization
DOMINION RECOVERY MANAGERS LLC
Active
Organization
DOMINION RECOVERY MANAGERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY M SHELTON (CEO)
(832) 915-0642
Entity
Organization
Contact information
Practice address
7211 REGENCY SQUARE BLVD STE 150, HOUSTON, TX 77036-3137
(832) 915-0642
(832) 209-8011
Mailing address
9002 CHIMNEY ROCK RD STE G238, HOUSTON, TX 77096-2509
(832) 915-0642
(832) 209-8011
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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