| NPI | 1710693221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY WU Director 214-659-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-30 |