| NPI | 1073766465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI SCOTT Executive Director 580-628-2539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |