| NPI | 1053741157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA WARD Executive Director 405-596-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4722) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |