NPI | 1710698055 |
---|---|
Entity Type | Organization |
Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
Enumeration Date | 2022-12-07 |
Last Update Date | 2022-12-07 |