| NPI | 1306103734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 110210) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 903986) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 904747) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2024-07-29 |