Wellspring Addiction Recovery LLC
Specialist in Houston, TX. Organization (NPI-2).
NPI number1760899298
StatusActive
Last updated in NPPESNov 10, 2014
Details
- NPI
- 1760899298
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellspring Addiction Recovery LLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2014
- Last updated
- Nov 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
7707 Fannin StSuite 207
Houston, TX 77054-1926
Phone 412-434-6700 · Fax 412-434-6710
Mailing address
7707 Fannin StSuite 207
Houston, TX 77054-1926
Phone 412-434-6700 · Fax 412-434-6710
Authorized official
Gregory Roscoe
Ceo
4124786736
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