| NPI | 1366592230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN WILMUT Clinical Director 972-423-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 2344-A) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-01-12 |