# LUNA RECOVERY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUNA RECOVERY SERVICES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770210064
- **Legal business name:** LUNA RECOVERY SERVICES, LLC
- **Authorized official:** ROBERT W PARK (CEO)
- **Authorized official phone:** (832) 850-2980

## Contact information

- **Practice address:** 5757 WOODWAY DR STE 176, HOUSTON, TX 77057-1521
- **Practice address phone:** (832) 930-4863
- **Practice address fax:** (832) 850-2981
- **Mailing address:** 5757 WOODWAY DR STE 110, HOUSTON, TX 77057-1506
- **Mailing address phone:** (832) 930-4863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2022
- **Last updated:** 08/05/2022