NPI | 1922640010 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEOLA O JAIYEOLA Managing Director 214-493-1212 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2019-10-10 |
Last Update Date | 2024-06-12 |