NPI | 1265878334 |
---|---|
Entity Type | Organization |
Authorized Contact | JEMECE MICHELLE GASAWAY Director Of Licensing 214-365-6126 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X |
261QM2800X Clinic/Center, Methadone Clinic (Licence: TX L000000011849) | |
Enumeration Date | 2013-05-16 |
Last Update Date | 2019-02-20 |