Provider Demographics
NPI:1659004455
Name:ABBA RECOVERY CENTER LLC
Entity type:Organization
Organization Name:ABBA RECOVERY CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:UCHECHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:346-242-0275
Mailing Address - Street 1:9950 WESTPARK DR STE 210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5199
Mailing Address - Country:US
Mailing Address - Phone:713-928-0337
Mailing Address - Fax:281-533-8007
Practice Address - Street 1:9950 WESTPARK DR STE 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5199
Practice Address - Country:US
Practice Address - Phone:713-928-0337
Practice Address - Fax:281-533-8007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX37745808OtherTHE TEXAS DEPARTMENT OF PUBLIC SAFETY