| NPI | 1962282954 |
|---|---|
| Doing Business As | CLEAN OUTCOME SERVICES |
| Entity Type | Organization |
| Authorized Contact | TYNESHA PARKS Director 469-386-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-05 |