| NPI | 1083848592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH KAY BECK Assistant Director 918-256-9124 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 1867) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 682) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |