| NPI | 1104362326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISRISTOPHER GIBSON Director 405-340-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3898) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 990) |
| 101YP2500X Counselor, Professional (Licence: OK 4667) | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |