| NPI | 1740672880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA THARP Chief Clinical Compliance Officer 580-319-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2026-08-18 |