NPI | 1992009864 |
---|---|
Entity Type | Organization |
Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
1041C0700X Social Worker, Clinical | |
207QA0401X Family Medicine, Addiction Medicine | |
207RA0401X Internal Medicine, Addiction Medicine | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2011-01-06 |
Last Update Date | 2024-12-23 |