| NPI | 1811242217 |
|---|---|
| Doing Business As | GLADYS LOWRY |
| Entity Type | Organization |
| Authorized Contact | GLADYS LOWRY Sponsor 972-365-9534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: TX 1000032) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |