NPI | 1366008583 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKEISHA L LEWIS Clinical Director 806-337-2227 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 251B00000X Case Management |
251S00000X Community/Behavioral Health | |
261QM0850X Clinic/Center Adult Mental Health | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2019-05-13 |
Last Update Date | 2019-05-13 |