| NPI | 1821834045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FLORES Program Director 817-334-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-11 |