Provider Demographics
NPI:1891188066
Name:A 2 Z RECOVERY OUTREACH CENTER
Entity Type:Organization
Organization Name:A 2 Z RECOVERY OUTREACH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HARMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:972-992-8577
Mailing Address - Street 1:5825 MARVIN LOVING DR
Mailing Address - Street 2:208
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-7741
Mailing Address - Country:US
Mailing Address - Phone:972-992-8577
Mailing Address - Fax:
Practice Address - Street 1:4403 WESLEY ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-5641
Practice Address - Country:US
Practice Address - Phone:903-259-6723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10523101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty