| NPI | 1144331802 |
|---|---|
| Former Legal Business Name | DARE PROGRAM OF SHAWNEE |
| Entity Type | Organization |
| Authorized Contact | JON GREENWOOD CEO 405-273-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-04-17 |