| NPI | 1629757679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA THARP Chief Clinical Compliance Officer 580-319-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |