| NPI | 1851761266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURAL CATHERINE BOECKMAN Clinical Lead 806-790-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |