| NPI | 1023275476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI MANDRELL Director Of Therapy Services 806-748-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 6602900000) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: TX 555400000) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |