| NPI | 1194122275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GILBERT Office Assistant 580-371-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |