| NPI | 1346750569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA THELMA HODGE-WINDOVER Clinical Director 580-699-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |