| NPI | 1154633238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MATTER COBB Clinical Social Worker 405-415-2305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 18) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |