NPI | 1548505639 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 28-04) |
Enumeration Date | 2012-11-30 |
Last Update Date | 2024-07-29 |