NPI | 1093049322 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY L HENDRIX President 405-579-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK LPC 751) |
Enumeration Date | 2009-09-18 |
Last Update Date | 2009-09-18 |