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 |