| NPI | 1821403643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A KOZAREVICH Owner 580-491-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2015-07-28 |