| NPI | 1598133472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK O NGWU Director/Counselor 214-418-8145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2025-08-21 |