| NPI | 1568230696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |