| NPI | 1568267698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER DICKEY Manager Of Payer Relations 806-928-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 208D00000X General Practice | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2026-01-27 |