| NPI | 1689120354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL T BAUMGARDNER Principal/President 806-395-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 74185) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |