| 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 | |
| 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 |