| NPI | 1720704117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA D CAULEY Owner/CEO 682-777-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |