| NPI | 1831409440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L GIBSON CEO/Co Owner 580-920-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2024-03-20 |