| NPI | 1841527561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELEA BENNETT Rehabilitation Specialist 580-402-2576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |