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