| NPI | 1306259932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART R LOEWEN President & CEO 214-920-1628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 865-3729) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 865-865M) |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 865-865P) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 865-3572) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 865-3340) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2022-05-11 |