| NPI | 1073388286 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH LOPEZ Chief Clinical Officer 580-362-6033 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility | 
| Enumeration Date | 2023-11-17 | 
| Last Update Date | 2023-11-17 |