| NPI | 1568722379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE LYNCH Owner 580-224-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2012-09-06 |