| NPI | 1730635152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SULLIVAN CEO 806-765-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 73117) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |