Organization
CHANGES PRIVATE RECOVERY LLC
Active
Other names
Choices Private Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J GRANATA II (OWNER)
(702) 324-2532
Entity
Organization
Contact information
Practice address
177 ANGEL RIDGE LN, SHERMAN, TX 75090-5295
(512) 667-1328
Mailing address
177 ANGEL RIDGE LN, SHERMAN, TX 75090-5295
(512) 667-1328
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
05/20/2016
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