Service Organization Benefiting Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

3354-3355 Issued in TX

Legal business name

SERVICE ORGANIZATION BENEFITING RECOVERY

Doing business as

Lifeway

Practice address

12955 Memorial Dr Ste F225
Houston, TX 77079-7302

Phone

(713) 270-6753

NPI assigned

Sep 16, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John C Cates, LCDC

Title

Executive Director

Phone

(713) 459-9427

Specialties & licenses 2

Addresses

Other names 1

• Lifeway Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1053693820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9337B KATY FWY # 289",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241515",
            "telephone_number": "713-270-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 MEMORIAL DR STE F225",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770797302",
            "telephone_number": "713-270-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE ORGANIZATION BENEFITING RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "CATES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "713-459-9427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "3354-3355",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "3354-3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.