| NPI | 1417448770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN G SWOAP Owner 806-791-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 62246) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 62246) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 62246) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2020-10-28 |