| NPI | 1619261377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D HOLT Owner 580-564-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2024-03-19 |