| NPI | 1336240209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUGI HAMMOND Owner 580-323-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |