| NPI | 1164538088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELLISA TALLEY Executive Director 806-351-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-07-21 |