| NPI | 1144527227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREY MCKELLAR Clinincal And Outpatient Director 918-855-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MS 801081083) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |