| NPI | 1427865930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PORTER Executive Director 580-326-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |