| NPI | 1437970050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN STENNIS Administrator 903-474-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |