Provider Demographics
NPI:1922408517
Name:INFINITE RECOVERY, LLC
Entity Type:Organization
Organization Name:INFINITE RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-422-0870
Mailing Address - Street 1:1201 ARROW POINT DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7784
Mailing Address - Country:US
Mailing Address - Phone:512-222-7825
Mailing Address - Fax:512-861-1924
Practice Address - Street 1:1201 ARROW POINT DR
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7784
Practice Address - Country:US
Practice Address - Phone:512-222-7825
Practice Address - Fax:512-861-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3767-3768261QR0401X, 261QR0405X
261QR0401X, 261QR0405X
TX3767-4187324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Group - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3767-4752OtherSUBSTANCE ABUSE TREATMENT FACILITY- DETOXIFICATION & OUTPATIENT
TX3767-4818OtherSUBSTANCE ABUSE TREATMENT FACILITY- INTENSIVE RESIDENTIAL AND RESIDENTIAL
TX3767-4752OtherSUBSTANCE ABUSE TREATMENT FACILITY- DETOXIFICATION & OUTPATIENT
TX3767-4818OtherSUBSTANCE ABUSE TREATMENT FACILITY- INTENSIVE RESIDENTIAL AND RESIDENTIAL
TX3763-4491OtherSUBSTANCE ABUSE TREATMENT FACILITY- INTENSIVE RESIDENTIAL AND RESIDENTIAL