| NPI | 1164590790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE W. GATES Program Director 580-254-2886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OK K8600113) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |