| NPI | 1982781159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-09-30 |