| NPI | 1003243486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA NASH Owner 580-326-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 261QM0801X) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |