| NPI | 1447770094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ELEANOR EVANSON-LASS Owner/Manager 806-429-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 60944) |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2022-07-21 |