| NPI | 1952384299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 164W00000X Licensed Practical Nurse | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 261QM2800X Clinic/Center Methadone | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2024-07-29 |