| NPI | 1013032424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI DIANA ORSBURN Executive Director 580-332-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-12-20 |