| NPI | 1053761619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON NEASBITT Owner/Director 405-513-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: OK 2046) |
| Additional Taxonomies | 261QM0801X (Licence: OK 427) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: OK 2046) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: OK 427) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OK 2046) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OK 427) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OK 427) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OK 2046) | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |