Provider Demographics
NPI:1952779985
Name:INFINITE RECOVERY LLC
Entity Type:Organization
Organization Name:INFINITE RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
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:512-358-4088
Mailing Address - Street 1:7517 CAMERON RD STE 118
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-2053
Mailing Address - Country:US
Mailing Address - Phone:512-358-4088
Mailing Address - Fax:
Practice Address - Street 1:7517 CAMERON RD STE 118
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-2053
Practice Address - Country:US
Practice Address - Phone:512-358-4088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3767-3768261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder