NPI | 1104212794 |
---|---|
Doing Business As | GREENHOUSE OUTPATIENT CENTER |
Entity Type | Organization |
Authorized Contact | SHAE DORSEY Facility Executive Director 817-649-3788 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NV 3826-3827) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2015-04-09 |
Last Update Date | 2024-06-10 |