| NPI | 1952542557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2023-09-01 |