| NPI | 1114266152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD CRAWFORD Director Community Based Services 580-559-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 171M00000X) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |