| NPI | 1700976453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA THOMAS Deputy Executive Director 432-570-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-07-15 |