| NPI | 1134140213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDELL G TOUCHATT CEO Clinician 405-895-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |