Organization
SERVICE ORGANIZATION BENEFITING RECOVERY
Active
Other names
Lifeway
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C CATES LCDC (EXECUTIVE DIRECTOR)
(713) 459-9427
Entity
Organization
Contact information
Practice address
12955 MEMORIAL DR STE F225, HOUSTON, TX 77079-7302
(713) 270-6753
Mailing address
9337B KATY FWY # 289, HOUSTON, TX 77024-1515
(713) 270-6753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3354-3355
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
3354-3355
TX
Other
Enumeration date
09/16/2011
Last updated
05/30/2013
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