| NPI | 1801469358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLA ANN GRAHAM Manager 806-535-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-05-21 |