| NPI | 1417059460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H BAER Executive Director 580-531-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2018-08-06 |