Organization
LUNA RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W PARK LCDC (CEO)
(832) 785-9663
Entity
Organization
Contact information
Practice address
5757 WOODWAY DR, SUITE 110, HOUSTON, TX 77057-1514
(888) 448-5862
Mailing address
5757 WOODWAY DR, SUITE 110, HOUSTON, TX 77057-1514
(888) 448-5862
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
TX
324500000X
Substance Abuse Rehabilitation Facility
Primary
4070-4071
TX
Other
Enumeration date
06/27/2016
Last updated
02/13/2017
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