Provider Demographics
NPI:1760953699
Name:POSITIVE RECOVERY
Entity Type:Organization
Organization Name:POSITIVE RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:KRISTEN
Authorized Official - Last Name:DENOFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-904-4699
Mailing Address - Street 1:902 W ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-4604
Mailing Address - Country:US
Mailing Address - Phone:713-904-4688
Mailing Address - Fax:713-904-4679
Practice Address - Street 1:902 W ALABAMA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-4604
Practice Address - Country:US
Practice Address - Phone:713-904-4688
Practice Address - Fax:713-904-4679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility