| NPI | 1992246201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HIGHAM CEO 214-365-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NV 2569NTC-17) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-12-26 |