| NPI | 1164228904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LEA HALL Executive Director 580-798-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-06-10 |