# COMPLETE CARE AND RECOVERY SERVICES LLC

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

## Provider details

- **NPI number:** 1962163709
- **Authorized official:** JASON KING LCDC (EMPLOYEE)
- **Authorized official phone:** (817) 584-9368

## Contact information

- **Practice address:** 5625 GOOD SHEPHERD WAY, FORT WORTH, TX 76119-4233
- **Practice address phone:** (817) 480-7599
- **Mailing address:** 1131 PARKVIEW TRL, KENNEDALE, TX 76060-5841
- **Mailing address phone:** (817) 584-9368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 01/04/2022