| 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 |