| NPI | 1093471930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2024-07-29 |