NPI | 1710727367 |
---|---|
Entity Type | Organization |
Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
207QA0401X Family Medicine, Addiction Medicine | |
207RA0401X Internal Medicine, Addiction Medicine | |
2083A0300X Preventive Medicine, Addiction Medicine | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-05-30 |
Last Update Date | 2024-09-27 |