# MARTIN'S RECOVERY CENTER

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

## Provider details

- **NPI number:** 1881149425
- **Authorized official:** MR. MARTIN JOHN NIEVES LCDC (PRESIDENT)
- **Authorized official phone:** (817) 717-4983

## Contact information

- **Practice address:** 1456 SIERRA SPRINGS DR, APT 811, BEDFORD, TX 76021-7646
- **Practice address phone:** (817) 717-4983
- **Mailing address:** 1456 SIERRA SPRINGS DR, APT 811, BEDFORD, TX 76021-7646
- **Mailing address phone:** (817) 717-4983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 13296 | TX | Yes |
| 251B00000X | Case Management Agency | 13296 | TX | — |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 08/24/2016
