| NPI | 1467463174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA THOMAS Deputy Executive Director 432-570-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |