NPI | 1154994721 |
---|---|
Entity Type | Organization |
Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-07-21 |
Last Update Date | 2024-12-26 |