| NPI | 1053509802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIE LILES Clinic Director 214-234-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX L7601) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |