| NPI | 1982915005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA ROBENA BANKS President 806-643-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0659533-4) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |