Organization
RECOVERY RANGER CORPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL J KANAWITE JR. (PRESIDENT)
(210) 683-3131
Entity
Organization
Contact information
Practice address
3426 SHORESIDE DR, GARLAND, TX 75043-1964
(210) 683-3131
Mailing address
3426 SHORESIDE DR, GARLAND, TX 75043-1964
(210) 683-3131
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A8467929
—
TX
Enumeration date
10/19/2020
Last updated
10/19/2020
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