Organization
164 COUNSELING SERVICES
Active
Other names
164 Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM W PORTER (OWNER, CEO)
(214) 934-8844
Entity
Organization
Contact information
Practice address
701 NE 5TH ST, SUITE A, HUBBARD, TX 76648-2203
(254) 576-1040
Mailing address
5526 DYER ST, DALLAS, TX 75206-5031
(214) 934-8844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3775-3776
TX
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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