| NPI | 1831614502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL KENT Sole Member 806-789-8641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 61515) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |