| NPI | 1013542190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA THARP Deputy Executive Directcor 580-319-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-05-20 |