| NPI | 1710775846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE CHERIE WATKINS Owner 806-781-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |