Provider Demographics
NPI:1417257031
Name:BEST RECOVERY HEALTH CARE, LP
Entity Type:Organization
Organization Name:BEST RECOVERY HEALTH CARE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BOOKER
Authorized Official - Middle Name:T
Authorized Official - Last Name:AMOS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:337-315-0990
Mailing Address - Street 1:PO BOX 20546
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0546
Mailing Address - Country:US
Mailing Address - Phone:713-661-0971
Mailing Address - Fax:
Practice Address - Street 1:1708 N LAURENT ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-6237
Practice Address - Country:US
Practice Address - Phone:361-572-9122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0000018261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000018Medicaid