| NPI | 1902876345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MD 904788) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone (Licence: MD 905635) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2025-07-10 |