| NPI | 1396552253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAN NICOLE OLIPHANT Owner 432-693-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2024-12-14 |