| NPI | 1285279224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMAR T HILL Owner 701-205-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2023-06-21 |