| NPI | 1801086921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X (Licence: AZ BH-1872) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2023-06-20 |