| NPI | 1104178904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT GASTON President 405-844-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 2578) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 2578) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |