| NPI | 1932655313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: VA 2966) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: VA 2966) |
| 261QM2800X Clinic/Center Methadone (Licence: VA 2966) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2024-12-27 |