| NPI | 1154876969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY N PEOPLES Owner 918-695-2059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4906) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |