| NPI | 1497536320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA ALVAREZ RIOJAS Owner 972-203-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2025-03-28 |