| NPI | 1467470310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK DAN PICKENS Executive Director 580-357-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |