| NPI | 1003060450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA CALLAWAY Office Manager 580-326-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2024-02-13 |