NPI | 1164668596 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS CHARLES FELLRATH CEO 405-751-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA CPFC001072) |
Enumeration Date | 2009-01-07 |
Last Update Date | 2009-01-07 |