| NPI | 1033254487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T DAVIS Program Director 713-541-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 0000042) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-04-01 |