| NPI | 1871016279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANN MIMS Executive Director, Art Therapist 580-647-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 74997) |
| Additional Taxonomies | 261QM0801X (Licence: TX 74997) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |