| NPI | 1366811457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALLON GILLISPIE Director 580-656-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2018-01-24 |