Provider Demographics
NPI:1386822542
Name:ADDED INCENTIVE
Entity Type:Organization
Organization Name:ADDED INCENTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANKS
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC/ADC
Authorized Official - Phone:832-215-3344
Mailing Address - Street 1:7146 HIGHWAY 60
Mailing Address - Street 2:
Mailing Address - City:WALLIS
Mailing Address - State:TX
Mailing Address - Zip Code:77485-9507
Mailing Address - Country:US
Mailing Address - Phone:832-215-3344
Mailing Address - Fax:
Practice Address - Street 1:7146 HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:WALLIS
Practice Address - State:TX
Practice Address - Zip Code:77485-9507
Practice Address - Country:US
Practice Address - Phone:832-215-3344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35533245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children