| NPI | 1780555714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN PEERY Owner/Provider 580-504-6099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |