| NPI | 1346667938 |
|---|---|
| Other Name | WILSON PROFESSIONAL SERVICES TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-098-190) |
| Additional Taxonomies | 251S00000X |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2023-09-22 |