| NPI | 1013062751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC OLORUNNISOMO Director 405-632-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |