| NPI | 1053528026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R HOCKENBURY Executive Director 580-762-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-05-30 |