| NPI | 1124160122 |
|---|---|
| Former Legal Business Name | ADA AREA YOUTH SHELTER, INC. |
| Entity Type | Organization |
| Authorized Contact | YOLANDA CUMMINGS Executive Director 580-436-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-01-18 |