| NPI | 1093082216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LAMERS Director 539-664-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 2477) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |