| NPI | 1366093544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MEDLEY CEO 817-600-8692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2021-07-23 |