| NPI | 1982279998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELLISA TALLEY Executive Director 806-351-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |