| NPI | 1083141600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SAUL VP 214-379-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: VT ADAP) |
| Enumeration Date | 2017-05-13 |
| Last Update Date | 2024-02-12 |