| NPI | 1821501651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERLA RAMIREZ-GROOTHUIS Executive Director 469-442-5314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CO 1648-02) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2021-11-04 |