| NPI | 1821003658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGLAIA "ALEXIS" MARTIN Therapist 580-355-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: OK 2560) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |