| NPI | 1104183185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WAYNE DURRENCE Owner/ Clinical Director 580-326-9128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |