| NPI | 1013287721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAM POLO Executive Director 214-680-5074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |