| NPI | 1992073142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2024-07-29 |