| NPI | 1508998972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN BOAZ Chief Financial Officer 972-617-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 2248-D) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |