| NPI | 1124228127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D JENKINS Director 918-835-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: OK ODMHSAS) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2014-01-30 |