| NPI | 1831742030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MARIE BLAKESLEE EHRHART Owner 325-439-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2022-04-25 |