| NPI | 1255302774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOND ANDREWS Vice President, Revenue Cycle 214-379-3398 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MD 13110) |
| 261Q00000X Clinic/Center (Licence: MD 905032) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 905032) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2017-10-24 |