| NPI | 1790043404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY DON HUEY Counselor/ Program Director 806-797-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: TX 10889) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |