| NPI | 1346781507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-06-20 |