| NPI | 1477225217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RAY MEISER Clinical Director 580-280-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2024-08-05 |