| NPI | 1144629569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBERT J NEWTON Sole Member 806-374-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 14311) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |