# LIFE GIVING LIFE THE RECOVERY PROJECT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871107185
- **Authorized official:** JAMIE MCKIBBEN CASE MANAGER (PEER SPECIALIST)
- **Authorized official phone:** (512) 662-9041

## Contact information

- **Practice address:** 14740 LIBERTY ST., MONTGOMERY, TX 77354-7735
- **Practice address phone:** (512) 662-9041
- **Mailing address:** 222 N VERSHIRE CIR, MAGNOLIA, TX 77354-3309
- **Mailing address phone:** (512) 662-9041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | — |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/03/2020
- **Last updated:** 09/03/2020