| NPI | 1376778787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL B HALL SR Addiction's Therapist 806-355-7539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 75) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |