| NPI | 1801149505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: MN 1063405) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 15731) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2024-11-18 |