Organization
ASIC RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS WILSON (OWNER / CEO)
(817) 865-5141
Entity
Organization
Contact information
Practice address
3256 LACKLAND RD, FORT WORTH, TX 76116-5307
(817) 616-0504
(817) 616-0758
Mailing address
3256 LACKLAND RD, FORT WORTH, TX 76116-5307
(817) 616-0504
(817) 616-0758
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
03/18/2024
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