| NPI | 1033252846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN LORETTA MCGEE Coordinator 580-323-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 14) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 2322) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |