| NPI | 1861589772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI BOHR CEO 806-293-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-11-17 |