| NPI | 1073509022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK VANHERSH Executive Director 580-223-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-08-22 |