| NPI | 1710106778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADONNA D WELLS Executive Director 580-226-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |