| NPI | 1003136607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINNEH TIPRIANA DYSON Executive Director 405-230-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |