Organization
A 2 Z RECOVERY OUTREACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARMAN FORD LCDC (OWNER/COUNSELOR)
(972) 992-8577
Entity
Organization
Contact information
Practice address
4403 WESLEY ST, GREENVILLE, TX 75401-5641
(903) 259-6723
Mailing address
5825 MARVIN LOVING DR, 208, GARLAND, TX 75043-7741
(972) 992-8577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10523
TX
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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