| NPI | 1801295464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY O'NEAL GLOVER Recovery Support Specialist 580-924-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |