| NPI | 1801806021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA THOMAS Deputy Executive Director 432-570-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |