| NPI | 1881947489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY GIBSON CEO 580-380-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |