| NPI | 1023209756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE MARVIN ALEXANDER Manager/Owner 405-364-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |