| NPI | 1003513862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED AL-ALAWNEH CEO 918-964-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-04-14 |