| NPI | 1073614624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA THOMAS Deputy Executive Director 432-570-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |