| NPI | 1255772638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FREDERICK DRAUDT COO 214-365-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: TX 1000041) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |