NPI | 1245602994 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN M MEDLEY CEO 806-412-4721 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2015-10-21 |
Last Update Date | 2021-07-23 |