| NPI | 1073994596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI LYNN BIRGE Owner/Administor 918-378-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OK RC7276) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |