| NPI | 1508992249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART R LOEWEN President & CEO 214-920-1628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 865) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-12-20 |