| NPI | 1114188331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL STEPHENS LIVINGSTON III Chief Executive Officer 405-821-0897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 200212700A) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2010-11-02 |