| Organization Name: | HUBBARD RECOVERY,LLC |
| NPI Number: | 1164828091 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILL PORTER (OWNER) |
| Mailing Address: | 701 North 5th Street Suite A Hubbard |
| State: | TX US |
| Postal Code: | 76648 |
| Phone Number: | 9546780078 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2014 |
| NPI Last Update Date: | 11/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 3775-3776 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |