NPI | 1568676575 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: CA 10-06) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: CA PENDING) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2024-07-29 |