ADD-LIFE RECOVERY CENTER – NPI #1295037885
Clinic/Center

ADD-LIFE RECOVERY CENTER is an AHC clinic located in TYLER, TX. NPPES has assigned the NPI number 1295037885 to ADD-LIFE RECOVERY CENTER on December 02, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADD-LIFE RECOVERY CENTER” is a dba name, the actual legal business name for this organization is ADDICTION ALTERNATIVES FOR OPIATE--HEROIN, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0405X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Substance Use Disorder

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADD-LIFE RECOVERY CENTER below.

NPI Profile for
ADDICTION ALTERNATIVES FOR OPIATE--HEROIN, INC.

NPI Number
1295037885
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADDICTION ALTERNATIVES FOR OPIATE--HEROIN, INC.
Doing Business As (dba): ADD-LIFE RECOVERY CENTER
Primary location
3322 E 5TH ST
TYLER, TX 75701-5144
Phone: (903) 596-0606 Fax: (903) 596-0661
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VINCENTINE ADELMAN
PROGRAM SPONSOR
Phone: (903) 596-0606
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder (Primary)		 TX 0000109
261QM2800X
- Clinic/Center / Methadone		 TX 0000109

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.