Provider Demographics
NPI:1689144867
Name:ANCHORING HOPES WELLNESS RECOVERY INSTITUTE
Entity Type:Organization
Organization Name:ANCHORING HOPES WELLNESS RECOVERY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:EVETTE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CPS
Authorized Official - Phone:281-948-6153
Mailing Address - Street 1:4110 DEERBRIAR RUN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-5576
Mailing Address - Country:US
Mailing Address - Phone:281-948-6153
Mailing Address - Fax:
Practice Address - Street 1:3925 OLD GALVESTON RD BLDG A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-2517
Practice Address - Country:US
Practice Address - Phone:281-948-6153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)