| NPI | 1912053612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA THARP Deputy Executive Director 580-319-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-05-20 |