| NPI | 1487298709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JANE SKULSKI Vice President Of Program Services 580-248-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |