NPI | 1366812877 |
---|---|
Entity Type | Organization |
Authorized Contact | LIDIA LYNETTE DAILEY Clinical Director 806-471-3249 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 3883-3884) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2015-09-28 |