Organization
DAILEY RECOVERY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDIA LYNETTE DAILEY LCDC (CLINICAL DIRECTOR)
(806) 471-3249
Entity
Organization
Contact information
Practice address
2430 SW 8TH AVE, AMARILLO, TX 79106-6612
(806) 471-3249
Mailing address
PO BOX 33046, AMARILLO, TX 79120-3046
(806) 471-3249
(877) 339-0645
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3883-3884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972987741
—
TX
Enumeration date
09/28/2015
Last updated
09/28/2015
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