Provider Demographics
NPI:1013365725
Name:RECOVERY UNPLUGGED AUSTIN, LLC
Entity Type:Organization
Organization Name:RECOVERY UNPLUGGED AUSTIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PAYER SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-368-0888
Mailing Address - Street 1:14109 FM 969
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78724-6364
Mailing Address - Country:US
Mailing Address - Phone:512-489-1990
Mailing Address - Fax:512-233-2610
Practice Address - Street 1:14109 FM 969
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78724-6364
Practice Address - Country:US
Practice Address - Phone:512-489-1990
Practice Address - Fax:512-233-2610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM1300X
TX4047-4048324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty