| NPI | 1104089580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J INGRAM Cheif Excecutive Officer 918-402-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 1581) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |