| NPI | 1114590759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ALLCORN Licensed Clinical Social Worker 806-337-0782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |