| NPI | 1013062470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRON MAYBERRY Assistant Director 405-286-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 200056310A) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-01-06 |