| NPI | 1245511187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAN JUANA CHATHAM Family Support Provider 580-223-2537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |