| NPI | 1255419172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 34-09) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-07-29 |