| NPI | 1124501937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON ORME Administrator 214-618-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2024-10-09 |