| NPI | 1972686210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HIGHAM CEO 214-365-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NV 2961NTC8) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-10-26 |