Provider Demographics
NPI:1366773327
Name:SMART CHOICE RECOVERY INC
Entity type:Organization
Organization Name:SMART CHOICE RECOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMART
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:972-800-6986
Mailing Address - Street 1:1112 HANSON CT
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-8808
Mailing Address - Country:US
Mailing Address - Phone:972-800-6986
Mailing Address - Fax:214-376-3034
Practice Address - Street 1:400 N SAINT PAUL ST
Practice Address - Street 2:SUITE 1050
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-3114
Practice Address - Country:US
Practice Address - Phone:972-800-6986
Practice Address - Fax:214-376-3034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3231-3232251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health