| NPI | 1043028178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIL S ROBERTS Clinical Director 405-445-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |