| NPI | 1992303721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY WATKINS Licensed Professional Counselor 580-284-8729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2024-01-10 |