Provider Demographics
NPI:1073784286
Name:ACCELRECOVERY, INC
Entity Type:Organization
Organization Name:ACCELRECOVERY, INC
Other - Org Name:DAYRISE RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:972-359-1600
Mailing Address - Street 1:200 W BOYD DR
Mailing Address - Street 2:D
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2556
Mailing Address - Country:US
Mailing Address - Phone:972-359-1600
Mailing Address - Fax:
Practice Address - Street 1:200 W BOYD DR
Practice Address - Street 2:D
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2556
Practice Address - Country:US
Practice Address - Phone:972-359-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2011-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2527A101YA0400X
TX2527-A261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty