| NPI | 1932928413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MASON Co Owner 432-230-6147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |