| NPI | 1285146910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HAYES Professional Counselor 806-479-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 002794) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2019-07-12 |