| NPI | 1144230186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NOEL ODEA Administrative Director 214-522-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 3312) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 14647) |
| 101Y00000X Counselor (Licence: TX 15717) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 24933) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: TX J4423) | |
| 251S00000X (Licence: TX 2174-A) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-11-22 |