| NPI | 1710690763 |
|---|---|
| Doing Business As | MED 365 |
| Entity Type | Organization |
| Authorized Contact | ABBAS MIAN Medical Director 214-906-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |