| NPI | 1295395408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENCO D'ANDRIA CFO 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2021-01-13 |