| NPI | 1649572439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE M RAINVILLE Behavioral Health Rehabilitation Sp 580-242-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |