| NPI | 1013462589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LOU LOVETT CEO 405-378-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |