Provider Demographics
NPI:1295750925
Name:REMEDY ADDICTIONS COUNSELORS, RAC, INC.
Entity type:Organization
Organization Name:REMEDY ADDICTIONS COUNSELORS, RAC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:CHIEDOZIE
Authorized Official - Last Name:OSUAGWU
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SAP, ADC III
Authorized Official - Phone:972-253-0000
Mailing Address - Street 1:1400 W IRVING BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-7266
Mailing Address - Country:US
Mailing Address - Phone:972-253-0000
Mailing Address - Fax:972-259-8406
Practice Address - Street 1:1400 W IRVING BLVD STE 100
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7266
Practice Address - Country:US
Practice Address - Phone:972-253-0000
Practice Address - Fax:972-259-8406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1679324500000X, 3245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Not Answered3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130181Medicaid
TXMC00623WMedicare ID - Type Unspecified