| NPI | 1073103701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KEVIN DAY CEO 918-639-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |