Organization
DEEP ROOTS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE MILLER (CHIEF EXECUTIVE OFFICER)
(714) 345-7856
Entity
Organization
Contact information
Practice address
202 ASPEN RD UNIT B, MAXWELL, TX 78656-4338
(512) 557-7832
Mailing address
202 ASPEN RD UNIT B, MAXWELL, TX 78656-4338
(512) 557-7832
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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