| NPI | 1962768697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY BUTLER Director Of Administration 580-745-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |