| NPI | 1023442092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACYE L. LOVE Owner/Executive Director 918-810-6852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 2466) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |