Organization
NAMASTE RECOVERY MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY GAYLE MCKENZIE MA (OWNER/RECOVERY MANAGER)
(719) 553-7929
Entity
Organization
Contact information
Practice address
912 GLENDA DR, BEDFORD, TX 76022-7019
(719) 553-7929
Mailing address
912 GLENDA DR, BEDFORD, TX 76022-7019
(719) 553-7929
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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