| NPI | 1750158531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN COLE WATTS COO 806-438-8089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |