| NPI | 1184488801 |
|---|---|
| Doing Business As | NONE PROVIDED |
| Entity Type | Organization |
| Authorized Contact | KAREN SUE EVANSON Owner 580-483-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |