Provider Demographics
NPI:1669923850
Name:ALLIANCE RISK GROUP LLC
Entity type:Organization
Organization Name:ALLIANCE RISK GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NABIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-705-3490
Mailing Address - Street 1:7445 PARK PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-4441
Mailing Address - Country:US
Mailing Address - Phone:713-705-3490
Mailing Address - Fax:832-532-6087
Practice Address - Street 1:7445 PARK PLACE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-4441
Practice Address - Country:US
Practice Address - Phone:713-705-3490
Practice Address - Fax:832-532-6087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-22
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4119-4120324500000X
261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility