| NPI | 1083786719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRE'YON JAMES Director Of Operations 918-490-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2025-12-09 |